Jennifer Marie Jackson
MD | Pediatrics | Female
Jennifer Marie Jackson, MD is a Winston-salem, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics. Jennifer Marie Jackson is also known as
Jennifer Marie Stancil.
Current practice location of Jennifer Marie Jackson is
Medical Center Blvd, Winston-salem, North Carolina - 27157-0001. She can be contacted on phone at
336-716-2255.
Jennifer Marie Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Marie Jackson is
1487865838 which was assigned by NPPES on 25 May, 2007 and it was last updated on 29 Mar, 2011.
Jennifer Marie Jackson license number is
2007-00654 for Pediatrics (208000000X) in North Carolina.
Jennifer Marie 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:
Jennifer Marie Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Marie Jackson |
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| Other Name : | Jennifer Marie Stancil |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer Marie 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 : | Medical Center Blvd
Winston-salem, NC, 27157-0001
United States |
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| Phone Number : | 336-716-2255 |
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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 : | 1487865838 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 May, 2007 |
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| Last Updated On : | 29 Mar, 2011 |
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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 Jennifer Marie Jackson are as mentioned. Primary taxonomy code for Jennifer Marie Jackson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2007-00654 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Marie Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5907036 | MEDICAID | NC | |
| 3810009251 | MEDICAID | WV | |
| Q00651 | MEDICAID | SC | |
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 344
Winston Salem, NC, 27102-0344
United States |
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| Phone Number : | 336-716-2255 |
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Business Location:
Patients can refer following map for directions to
Jennifer Marie 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.