Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DOREEN ONIPEDE JACKSON, MD
Active Sole ProprietorMRS. DOREEN ONIPEDE JACKSON, MD is a Colon & Rectal Surgery healthcare provider located in TRAVIS AIR FORCE BASE, California. NPI 1649615287 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · TRAVIS AIR FORCE BASE, CA
Registration Details
- NPI Number
- 1649615287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2013 (13.278834613806 yrs)
- Last Updated
- Aug 19, 2022
- Licenses
-
171636 (CA)ME139661 (FL)204413 (NC)171636 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIRCLETRAVIS AIR FORCE BASE, CA, 945351800Browse CA providers · Browse ZIP 94535
- Phone
- 9197536879
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- General Practice
- Additional Specialty
- Colon & Rectal Surgery
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.