Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRACE NIGHTINGALE CORTEZ JACKSON, M.D.
ActiveDR. GRACE NIGHTINGALE CORTEZ JACKSON, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in AUSTIN, Texas. NPI 1104020775 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · AUSTIN, TX
Registration Details
- NPI Number
- 1104020775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2007 (19.156249908799 yrs)
- Last Updated
- Oct 15, 2014
- Licenses
-
BP1-0016584 (TX)N1690 (TX)
Practice Information
- Address
-
3445 EXECUTIVE CENTER DRIVESUITE 250AUSTIN, TX, 787311678Browse TX providers · Browse ZIP 78731
- Phone
- 5125794000
- Fax
- 5124392814
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| LESLIE W DALTON III | MD | 1386647022 |
| DR. ARMINEH KAJOIAN | M.D. | 1790789154 |
| THOMAS M. TURNER JR. | M.D. | 1629076203 |
| MICHAEL E BAILEY | M.D. | 1649278144 |
| PAULETTE Y MHAWECH FAUCEGLIA | MD | 1225029093 |
| AMELIA VENDRELL | MD | 1164413340 |
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.