Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA JACKSON, SPECIALIST
Active Sole ProprietorOLIVIA JACKSON, SPECIALIST is a Prosthetic/Orthotic Supplier healthcare provider located in LYNCHBURG, Virginia. NPI 1730952763 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · LYNCHBURG, VA
Registration Details
- NPI Number
- 1730952763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2023 (2.8065294354081 yrs)
- Last Updated
- Nov 1, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 HEATH AVELYNCHBURG, VA, 245021767Browse VA providers · Browse ZIP 24502
- Phone
- 4349449955
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
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.