Individual
ANDREA M. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4376 GERMANNA HWY, LOCUST GROVE, VA 22508-2008
(540) 972-7798
(540) 972-3536
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101039547
VA
207V00000X
Obstetrics & Gynecology Physician
25MA11775800
NJ
207V00000X
Obstetrics & Gynecology Physician
95446
GA
207V00000X
Obstetrics & Gynecology Physician
C1-0025384
DE
207V00000X
Obstetrics & Gynecology Physician
D0080571
MD
207V00000X
Obstetrics & Gynecology Physician
ME161053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528179215
—
VA
Enumeration date
08/31/2006
Last updated
04/09/2025
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