Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY P JACKSON, MD
ActiveDR. TRACY P JACKSON, MD is a Pain Medicine (Anesthesiology) healthcare provider located in WALNUT CREEK, California. NPI 1154436590 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · WALNUT CREEK, CA
Registration Details
- NPI Number
- 1154436590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2006 (19.982165552734 yrs)
- Last Updated
- Oct 10, 2022
- Licenses
-
A97159 (CA)200300358 (NC)42636 (TN)A97159 (CA)200300358 (NC)
Practice Information
- Address
-
2960 CAMINO DIABLO STE 105WALNUT CREEK, CA, 945973945Browse CA providers · Browse ZIP 94597
- Phone
- 8008922695
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- 2083A0300X
- Additional Specialty
- 2083A0300X
- Additional Specialty
- 2083A0300X
Other Pain Medicine (Anesthesiology) Providers in WALNUT CREEK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES L MURA | MD | 1881863215 |
| ALEXANDER PEKUROVSKY | MD | 1386930600 |
| DR. HENRY CHENG-JU WU | M.D., PH.D. | 1093179004 |
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.