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

REBECCA JACKSON

Active Sole Proprietor

REBECCA JACKSON is a Foot & Ankle Surgery healthcare provider located in MOUNT CLARE, West Virginia. NPI 1962099119 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · MOUNT CLARE, WV

Registration Details

NPI Number
1962099119
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2020 (5.6421964039496 yrs)
Last Updated
Dec 22, 2020
Sole Proprietor
Yes

Practice Information

Address
101 JAMES MARTIN CIR
MOUNT CLARE, WV, 264087066
Browse WV providers · Browse ZIP 26408
Phone
3046957093
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in MOUNT CLARE, WV

Name Credential NPI
CIERRA H COBERLY 1518568583
TINA MARIE KALAR 1720675879
ANNA MAE KIMBLE 1235810185
MELISSA LYNNE HICKS 1790506848
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.