Individual provider · Type 1 NPI

Lisa Nicole Jackson, MD

Obstetrics & Gynecology Physician · Jamaica, NY

NPI number 1487844973 Active

Practice location

89-06 135th St, Room 6A
Jamaica, NY 11418

Mailing address

354 E 91st St, Apt 1805
New York, NY 10128-5354

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X60 245188 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1487844973

Lisa Nicole Jackson, MD's National Provider Identifier is 1487844973, issued on Jul 31, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 31, 2007.