Individual
JULIE ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 540-5397
Mailing address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P5084
TX
207ND0900X
Dermatopathology Physician
P5084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5084
STATE LICENSE
TX
Enumeration date
06/09/2008
Last updated
02/08/2019
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