Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY MARIE JACKSON
ActiveHOLLY MARIE JACKSON is a Foot & Ankle Surgery healthcare provider located in TIPTON, Missouri. NPI 1689275802 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · TIPTON, MO
Registration Details
- NPI Number
- 1689275802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2020 (5.7952350802747 yrs)
- Last Updated
- Nov 4, 2020
Practice Information
- Address
-
448 W COOPER STTIPTON, MO, 650818217Browse MO providers · Browse ZIP 65081
- Phone
- 5733531292
- 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.