Individual
DR. JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 689-5464
Mailing address
1611 NW 12TH AVE, PO BOX 016960 (M851), MIAMI, FL 33136-1005
(305) 689-5464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME112442
FL
Other
Enumeration date
04/28/2008
Last updated
10/01/2012
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