JOHNNA JACKSON, D.O.
Surgery
Active
Individual
NPI: 1255537999
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 1998 (WV) |
Frequently Asked Questions
NPI 1255537999 is the National Provider Identifier for JOHNNA JACKSON, D.O., a Surgery provider located in South Charleston, WV. This NPI was enumerated on June 21, 2007.
JOHNNA JACKSON, D.O. practices at 500 POPLAR ST, SUITE 304, South Charleston, WV 25309.
Quick Facts
- NPI
- 1255537999
- Type
- Individual
- Enumerated
- Jun 21, 2007
- Last Updated
- Dec 23, 2021
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