Individual provider · Type 1 NPI

Crystal B. Jackson, MD

Specialist · Youngsville, LA

NPI number 1083879837 Active

Practice location

700 Southlake Cir
Youngsville, LA 70592-5671

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083879837

Crystal B. Jackson, MD's National Provider Identifier is 1083879837, issued on Jul 22, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Youngsville, LA. The record was last updated on Oct 1, 2012.