Organization
J2 OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE H JACKSON D.O. (PHYSICIAN)
(304) 765-9500
Entity
Organization
Contact information
Practice address
485 OLD TURNPIKE RD, SUTTON, WV 26601-1637
(304) 765-9500
(304) 765-9502
Mailing address
485 OLD TURNPIKE RD, SUTTON, WV 26601-1637
(304) 765-9500
(304) 765-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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