Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CRYSTAL B JACKSON, MD
ActiveDR. CRYSTAL B JACKSON, MD is a Specialist healthcare provider located in YOUNGSVILLE, Louisiana. NPI 1083879837 is currently active in the NPPES registry. Verify at CMS.
Specialist · YOUNGSVILLE, LA
Registration Details
- NPI Number
- 1083879837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2008 (18.022342019607 yrs)
- Last Updated
- Oct 1, 2012
Practice Information
- Address
-
700 SOUTHLAKE CIRYOUNGSVILLE, LA, 705925671Browse LA providers · Browse ZIP 70592
- Phone
- 7033501912
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in YOUNGSVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| JAIME RUIZ | RDH | 1003782954 |
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.