Individual
DR. ALLISON M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 476-4100
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(301) 572-1323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD22029
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028181800
—
DC
05
—
6720587
—
VA
05
—
690003800
—
MD
Enumeration date
10/19/2006
Last updated
10/24/2012
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