Individual provider · Type 1 NPI

Keyanna Jackson, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1427744739 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-9878 Map

Fax (212) 305-8980

Specialties and licenses

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

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427744739

Keyanna Jackson, MD's National Provider Identifier is 1427744739, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 11, 2023.