Individual
DR. PAULA JEAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD STREET, FORT POLK, LA 71459
(337) 531-3276
Mailing address
4132 LARSON LN, MOUNT AIRY, MD 21771-4512
(301) 829-9452
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01059309A
IN
Other
Enumeration date
08/10/2006
Last updated
05/25/2023
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