Caroline N Jackson
MD | Pediatrics | Female
Caroline N Jackson, MD is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Caroline N Jackson is
231 E Chestnut St, Louisville, Kentucky - 40202-1821. She can be contacted on phone at
502-588-0982 and fax number 502-588-0987.
Caroline N Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Caroline N Jackson is
1457812463 which was assigned by NPPES on 31 Mar, 2019 and it was last updated on 13 Mar, 2023.
Caroline N Jackson license number is
56401 for Pediatrics (208000000X) in Kentucky.
Caroline N Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Caroline N Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Caroline N Jackson |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Caroline N Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 231 E Chestnut St
Louisville, KY, 40202-1821
United States |
|---|
| Phone Number : | 502-588-0982 |
|---|
| Fax Number : | 502-588-0987 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457812463 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 31 Mar, 2019 |
|---|
| Last Updated On : | 13 Mar, 2023 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Caroline N Jackson are as mentioned. Primary taxonomy code for Caroline N Jackson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 56401 | KY |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | KY |
Legacy Identifiers:
Other legacy medical identifiers of Caroline N Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100676360 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
|---|
| Phone Number : | 502-588-9490 |
|---|
| Fax Number : | 502-272-5116 |
|---|
Business Location:
Patients can refer following map for directions to
Caroline N Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.