Individual
ALLISON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13911 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618-2746
(813) 618-3055
Mailing address
13911 CARROLLWOOD VILLAGE RUN, TAMPA, FL 33618-2746
(813) 618-3055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1015351
MA
2084P0800X
Psychiatry Physician
Primary
161733
FL
Other
Enumeration date
03/23/2019
Last updated
09/11/2023
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