Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL-CHRISTIAN ANDREW JACKSON, MD
ActiveCARL-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 190PROVIDENCE, RI, 029053248Browse 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.