Individual
HANNAH B JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 45TH ST NE, WASHINGTON, DC 20019-4632
(202) 469-4699
Mailing address
2000 N ST NW APT 806, WASHINGTON, DC 20036-2820
(617) 875-4179
(617) 507-5977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD045691
DC
Other
Enumeration date
05/21/2014
Last updated
07/21/2022
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