Individual provider · Type 1 NPI

Lisa Chanel Jackson, MD

Obstetrics & Gynecology Physician · Beaufort, SC

NPI number 1912923996 Active

Practice location

1264 Ribaut Rd Ste 200
Beaufort, SC 29902-6127

Call (843) 987-7400 Map

Mailing address

PO Box 357
Ridgeland, SC 29936-2605

Other practice locations

  • 3310 Magnolia St, Orangeburg, SC 29115-1466 · (803) 531-6900

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X036113699 (IL)
Obstetrics & Gynecology Physician Primary 207V00000X33355 (SC)

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.

5 other providers at this address

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About NPI 1912923996

Lisa Chanel Jackson, MD's National Provider Identifier is 1912923996, issued on Jul 14, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Beaufort, SC. The record was last updated on Jun 13, 2026.