Johnna Michelle Jackson, D.O.

NPI #1255537999 in South Charleston, West Virginia

Provider Information

NPI Number: 1255537999
Entity Type: Individual
Name: Johnna Michelle Jackson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: D.O.
Enumeration Date: Jun 21, 2007
Last Updated: Dec 23, 2021

Practice Location

Address: 500 POPLAR ST
Address 2: SUITE 304
City: South Charleston
State: West Virginia
ZIP Code: 25309-1474
Phone: (304) 767-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Organizations

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Comprehensive Surgical Associates Pllc	Surgery	South Charleston	AI Deep Dive

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