Individual provider · Type 1 NPI
Spencer Jackson, MD
Student in an Organized Health Care Education/Training Program · New Orelans, LA
NPI number
1689248668
Active
Practice location
1514 Jefferon Highway
New Orelans, LA 70121
Mailing address
4315 Sharon Church Rd
Kinston, NC 28501-7192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1689248668
Spencer Jackson, MD's National Provider Identifier is 1689248668, issued on May 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Orelans, LA. The record was last updated on May 14, 2021.