Individual
LINDA SLAYTON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101225086
VA
208000000X
Pediatrics Physician
2008-02032
NC
208000000X
Pediatrics Physician
Primary
S2351
TX
Other
Enumeration date
02/27/2006
Last updated
04/12/2023
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