Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNA MICHELLE JACKSON, D.O.
ActiveGeneral Surgery · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1255537999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2007 (18.854331895323 yrs)
- Last Updated
- Dec 23, 2021
- License
-
1998 (WV)
Practice Information
- Address
-
500 POPLAR STSUITE 304SOUTH CHARLESTON, WV, 253091474Browse WV providers · Browse ZIP 25309
- Phone
- 3047677770
- Fax
- 3047677779
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| MICHAEL M BOUSTANY | MD | 1619973096 |
| DR. DAVID WARD RANSON | MD | 1306944335 |
| KRISTEN PRICE EADS | M.D. | 1942429790 |
| SETH WILLIAMS | MD | 1225583347 |
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.