Individual
DR. ELISHA JANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 432-4771
Mailing address
8703 MORRIS WOODS DR, MISSOURI CITY, TX 77459-3888
(816) 686-0222
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
81231
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
08/01/2025
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