Individual
TERESA JACKSON-NOVAK
Active
Individual
TERESA JACKSON-NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A71589
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD60822145
WA
Other
Enumeration date
09/16/2006
Last updated
06/11/2026
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