Individual
ERIN W. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4337
(202) 741-2791
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 741-2191
(202) 741-2791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253099
VA
207R00000X
Internal Medicine Physician
49778
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036.139904
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
49778
TN
208M00000X
Hospitalist Physician
49778
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531862
—
TN
01
—
6010875
BCBS
TN
05
—
7100241590
—
KY
01
—
P01216006
RAILROAD
TN
Enumeration date
04/28/2009
Last updated
03/20/2020
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