Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE JACKSON, MD
ActiveProcedural Dermatology · OCEANSIDE, CA
Registration Details
- NPI Number
- 1184846529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2007 (18.96945793512 yrs)
- Last Updated
- Aug 29, 2012
- Licenses
-
A102012 (CA)A102012 (CA)
Practice Information
- Address
-
3613 VISTA WAYOCEANSIDE, CA, 920564522Browse CA providers · Browse ZIP 92056
- Phone
- 7607585340
- Fax
- 7607585502
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Procedural Dermatology
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.