DR. Jennifer Jackson, M.D.

NPI #1700827383 in Colwich, Kansas

Provider Information

NPI Number: 1700827383
Entity Type: Individual
Name: DR. Jennifer Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 8, 2006
Last Updated: Jan 7, 2011

Practice Location

Address: 2241 N 189TH CIR W
City: Colwich
State: Kansas
ZIP Code: 67030-9728
Phone: (316) 789-4378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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