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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARL-CHRISTIAN ANDREW JACKSON, MD

Active

CARL-CHRISTIAN ANDREW JACKSON, MD is a Pediatric Surgery healthcare provider located in PROVIDENCE, Rhode Island. NPI 1235355173 is currently active in the NPPES registry. Verify at CMS.

Pediatric Surgery · PROVIDENCE, RI

Registration Details

NPI Number
1235355173
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2007 (19.289266561735 yrs)
Last Updated
Nov 26, 2025
Licenses
A88272 (CA)
MD18790 (RI)
231415 (MA)
036-106668 (IL)

Practice Information

Address
2 DUDLEY ST STE 190
PROVIDENCE, RI, 029053248
Browse RI providers · Browse ZIP 02905
Phone
4012280623
Fax
4018682319
Primary Specialty
Pediatric Surgery
2086S0120X
Additional Specialty
Pediatric Surgery
Additional Specialty
Pediatric Surgery
Additional Specialty
General Surgery

Other Pediatric Surgery Providers in PROVIDENCE, RI

Name Credential NPI
ARLET G. KURKCHUBASCHE MD 1316944127
FRANCOIS I LUKS MD 1124025937
ELIZABETH J RENAUD M.D. 1881715944
ARTUR CHERNOGUZ MD 1326206152
JOSHUA NATHANAEL HONEYMAN M.D. 1356673271
DR. JULIE MONTEAGUDO M.D. 1417277161
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.