Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LIYAH JACKSON
Active Sole ProprietorMS. LIYAH JACKSON is a Foot & Ankle Surgery healthcare provider located in DAVENPORT, Iowa. NPI 1659991305 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · DAVENPORT, IA
Registration Details
- NPI Number
- 1659991305
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2020 (6.3298210694048 yrs)
- Last Updated
- Apr 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1607 W 12TH STDAVENPORT, IA, 528044086Browse IA providers · Browse ZIP 52804
- Phone
- 3316628951
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
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.