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

PAMELA LEE JACKSON, M.D.

Active

PAMELA LEE JACKSON, M.D. is a Pediatrics healthcare provider located in WILLISTON, Vermont. NPI 1619905072 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · WILLISTON, VT

Registration Details

NPI Number
1619905072
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2006 (20.089504518887 yrs)
Last Updated
Jan 8, 2015
License
42-0008559 (VT)

Practice Information

Address
353 BLAIR PARK RD
WILLISTON, VT, 054957530
Browse VT providers · Browse ZIP 05495
Phone
8028471440
Fax
8028473014
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in WILLISTON, VT

Name Credential NPI
DR. ANN S WITTPENN M.D. 1215952890
ELIOT W. NELSON M.D. 1306865183
MICHELLE TAMARA SHEPARD M.D., PHD. 1194016956
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.