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

DR. BERNICE D. JACKSON, M.D.

Active Sole Proprietor

DR. BERNICE D. JACKSON, M.D. is a Cardiovascular Disease healthcare provider located in WASHINGTON, Washington D.C.. NPI 1639195407 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · WASHINGTON, DC

Registration Details

NPI Number
1639195407
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2006 (20.096307457553 yrs)
Last Updated
Jan 21, 2011
License
MD17118 (DC)
Sole Proprietor
Yes

Practice Information

Address
1160 VARNUM ST NE
SUITE 314
WASHINGTON, DC, 200172107
Browse DC providers · Browse ZIP 20017
Phone
2022699249
Fax
2022699271
Primary Specialty
Cardiovascular Disease
207RC0000X

Other Cardiovascular Disease Providers in WASHINGTON, DC

Name Credential NPI
DR. JOSHUA SHIGERU YAMAMOTO M.D. 1639172174
BRUCE LLOYD 1396745113
JAMES OLIVER M.D. 1538152590
DR. AMJAD MIAN RASUL M.D. 1841284213
JOSEPH A QUASH SR. M.D. 1407841448
HERMAN GIST M.D. 1275528234
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.