Individual
DR. ELIZABETH IRENE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5329
(614) 257-5418
Mailing address
420 N JAMES RD, CHALMERS P. WYLIE VA AMBULATORY CARE CENTER, COLUMBUS, OH 43219-1834
(614) 257-5329
(614) 257-5418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-040085
OH
Other
Enumeration date
08/16/2006
Last updated
01/08/2009
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