Individual provider · Type 1 NPI

Isaiah William Jackson, MD

Military Health Care Provider · Portsmouth, VA

NPI number 1043062375 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1043062375

Isaiah William Jackson, MD's National Provider Identifier is 1043062375, issued on Apr 2, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Jun 11, 2024.