Individual
JENNIFER VEIT HALL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 ROYAL AVE UNIT 350, MEDFORD, OR 97504-6194
(541) 732-7460
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD164172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661539
—
OR
Enumeration date
06/19/2008
Last updated
11/28/2022
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