Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL'AVERIS JACKSON
Active Sole ProprietorCARL'AVERIS JACKSON is a Foot & Ankle Surgery healthcare provider located in DAYTON, Ohio. NPI 1104419092 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · DAYTON, OH
Registration Details
- NPI Number
- 1104419092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2021 (5.4987564423815 yrs)
- Last Updated
- Feb 11, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1646 WESLEYAN RD # BDAYTON, OH, 454063606Browse OH providers · Browse ZIP 45406
- Phone
- 9379852275
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Foot & Ankle Surgery
Other Foot & Ankle Surgery Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| HELEN LOUISE VISLOSKY | PTA | 1376864116 |
| DARONA N EDMONDS | INDEPENDENT PROVIDER | 1699088435 |
| MRS. BONNIE I NORTH | — | 1477954030 |
| JEREESE ARMSTRONG | — | 1932587672 |
| KACI BROOKS | — | 1053797407 |
| CASANDRA RAMBO | — | 1578934766 |
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.