Individual
DR. HANNAH JORDAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4317 CHARLESTOWN RD, NEW ALBANY, IN 47150-8506
(812) 258-9626
Mailing address
4317 CHARLESTOWN RD, NEW ALBANY, IN 47150-8506
(812) 258-9626
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10885
KY
1223P0221X
Pediatric Dentistry
Primary
12013180A
IN
Other
Enumeration date
07/12/2019
Last updated
07/07/2023
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