Individual
SHERRI TAYLOR JACKSON
Active
Individual
SHERRI TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242513
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05704
GROUP PTAN
VA
01
—
C06115
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
05/17/2007
Last updated
05/12/2015
Update your record
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