Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENITA MARIE JACKSON, MD
Active Sole ProprietorDR. BENITA MARIE JACKSON, MD is a Public Health & General Preventive Medicine healthcare provider located in NEW ALBANY, Ohio. NPI 1699832709 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · NEW ALBANY, OH
Registration Details
- NPI Number
- 1699832709
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.65662686197 yrs)
- Last Updated
- Jul 8, 2007
- License
-
35-061647 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7252 TUMBLEBROOK DRNEW ALBANY, OH, 430548891Browse OH providers · Browse ZIP 43054
- Phone
- 6149330095
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
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.