Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANITA LOUISE JACKSON, M.D.
ActiveANITA LOUISE JACKSON, M.D. is a Otolaryngology healthcare provider located in LUMBERTON, North Carolina. NPI 1346286010 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · LUMBERTON, NC
Registration Details
- NPI Number
- 1346286010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2006 (20.186205060311 yrs)
- Last Updated
- Dec 13, 2010
- License
-
9700991 (NC)
Practice Information
- Address
-
4315 LUDGATE STLUMBERTON, NC, 283582460Browse NC providers · Browse ZIP 28358
- Phone
- 9107381919
- Fax
- 9107381991
- Primary Specialty
-
Otolaryngology
207Y00000X
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.