Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANETTE M. JACKSON, DO
ActiveDR. DANETTE M. JACKSON, DO is a Family Medicine healthcare provider located in FT CAVAZOS, Texas. NPI 1083717078 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FT CAVAZOS, TX
Registration Details
- NPI Number
- 1083717078
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2006 (19.922864727543 yrs)
- Last Updated
- Aug 14, 2023
- License
-
DO-02419 (IA)
Practice Information
- Address
-
BLDG 2245, 761ST TANK DESTROYER BLVDCHARLES THOMAS MOORE CLINICFT CAVAZOS, TX, 76544Browse TX providers · Browse ZIP 76544
- Phone
- 2542856232
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.