Individual provider · Type 1 NPI

Jacqueline Kay Jackson, MD

Adult Medicine Physician · Gainesville, FL

NPI number 1104157643 Active

Practice location

1621 NE Waldo Rd
Gainesville, FL 32609-3900

Call (352) 264-8272 Map

Fax (352) 264-8304

Mailing address

1200 NE 55th Blvd
Gainesville, FL 32641-2759

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XME 0058078 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1104157643

Jacqueline Kay Jackson, MD's National Provider Identifier is 1104157643, issued on Jan 22, 2010. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Gainesville, FL. The record was last updated on Feb 25, 2019.