Organization
JACKSON CLINIC LLC
Active
Organization
JACKSON CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNISE JACKSON MD (CEO)
(781) 825-5390
Entity
Organization
Contact information
Practice address
33 BEDFORD ST STE 11, LEXINGTON, MA 02420-4403
(781) 825-5390
Mailing address
20 2ND AVE APT 512, BURLINGTON, MA 01803-4463
(228) 712-0012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up