Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN ANDREW MERL JACKSON, D.O.
ActiveNATHAN ANDREW MERL JACKSON, D.O. is a Dermatology healthcare provider located in DANVILLE, Virginia. NPI 1376805812 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DANVILLE, VA
Registration Details
- NPI Number
- 1376805812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2012 (14.197255748533 yrs)
- Last Updated
- Oct 19, 2021
- Licenses
-
OT014572 (PA)1376805821 (VA)
Practice Information
- Address
-
117 EXECUTIVE DRDANVILLE, VA, 245414101Browse VA providers · Browse ZIP 24541
- Phone
- 4347920423
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in DANVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| PATRICIA ANN DUPREY | MD | 1003933953 |
| DR. KEITH ROBINSON | D.O. | 1174704183 |
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.