Individual
JOSHUAH DUNCAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 VALLEY CENTER DR, STAUNTON, VA 24401-5080
(540) 332-8000
Mailing address
103 VALLEY CENTER DR, STAUNTON, VA 24401-5080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101269643
VA
2084P0800X
Psychiatry Physician
LL39434
SC
Other
Enumeration date
06/07/2016
Last updated
03/17/2021
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