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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA CHANEL JACKSON, M.D.

Active

MS. LISA CHANEL JACKSON, M.D. is a Obstetrics & Gynecology healthcare provider located in BEAUFORT, South Carolina. NPI 1912923996 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · BEAUFORT, SC

Registration Details

NPI Number
1912923996
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2006 (20.06448009562 yrs)
Last Updated
Aug 22, 2024
Licenses
036113699 (IL)
33355 (SC)

Practice Information

Address
1264 RIBAUT RD STE 200
BEAUFORT, SC, 299026127
Browse SC providers · Browse ZIP 29902
Phone
8435242466
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in BEAUFORT, SC

Name Credential NPI
DR. GREGORY A MILLER M.D. 1740257799
GLENN L WERNER MD 1871548479
DR. JOHN FONTANA MD 1043228752
SUSAN R COKER PA 1073522660
DR. PATRICIA A THOMPSON MD 1245335454
GREGORY L GLOVER MD 1295814390
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.