Individual
MISS JENELL CURNESE JACKSON
Active
Individual
MISS JENELL CURNESE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2018-01244
NC
207W00000X
Ophthalmology Physician
S5393
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2018-01244
NC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
S5393
TX
Other
Enumeration date
04/26/2013
Last updated
04/06/2022
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