# MS. MELISSA JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790280113
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 67006 | TX | — |
| 1835I0206X | Infectious Diseases Pharmacist | 67006 | TX | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 67006 | TX | Yes |
| 1835P2201X | Ambulatory Care Pharmacist | 67006 | TX | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/27/2018
- **Last updated:** 05/22/2023