Individual
DR. CARA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-3198
(757) 594-2955
Mailing address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-3198
(757) 594-2955
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102204378
VA
207P00000X
Emergency Medicine Physician
5101019863
MI
Other
Enumeration date
03/27/2012
Last updated
06/13/2016
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