Organization
BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC
Active
Organization
BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNICE D. JACKSON MD (PRESIDENT)
(202) 269-9249
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE 314, WASHINGTON, DC 20017-2107
(202) 269-9249
(202) 269-9271
Mailing address
1160 VARNUM ST NE, SUITE 314, WASHINGTON, DC 20017-2107
(202) 269-9249
(202) 269-9271
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD17118
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027063100
—
DC
01
—
1639195407
NPI INDIVIDUAL
DC
Enumeration date
05/19/2008
Last updated
07/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up