DR. Glenna S Jackson, M.D.

NPI #1003887779 in Medina, Ohio

Provider Information

NPI Number: 1003887779
Entity Type: Individual
Name: DR. Glenna S Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 30, 2006
Last Updated: Aug 15, 2011

Practice Location

Address: 3780 MEDINA RD
Address 2: STE. 310
City: Medina
State: Ohio
ZIP Code: 44256-9311
Phone: (330) 725-8441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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