JERREYLL JACKSON, MD
Ophthalmology
Active
Individual
NPI: 1629009576
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Ophthalmology | 207W00000X | Yes | 237264 (NY) |
Frequently Asked Questions
NPI 1629009576 is the National Provider Identifier for JERREYLL JACKSON, MD, a Ophthalmology provider located in Long Island City, NY. This NPI was enumerated on July 6, 2006.
JERREYLL JACKSON, MD practices at 4604 31ST AVE, Long Island City, NY 11103.
Quick Facts
- NPI
- 1629009576
- Type
- Individual
- Enumerated
- Jul 6, 2006
- Last Updated
- Dec 8, 2008
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