Pamela Lee Jackson
M.D. | Pediatrics | Female
Pamela Lee Jackson, M.D. is a Williston, Vermont based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Pamela Lee Jackson is
353 Blair Park Rd, Williston, Vermont - 05495-7530. She can be contacted on phone at
802-847-1440 and fax number 802-847-3014.
Pamela Lee Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Pamela Lee Jackson is
1619905072 which was assigned by NPPES on 28 Jun, 2006 and it was last updated on 08 Jan, 2015.
Pamela Lee Jackson license number is
42-0008559 for Pediatrics (208000000X) in Vermont.
Pamela Lee 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:
Pamela Lee Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Pamela Lee Jackson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Pamela Lee 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 : | 353 Blair Park Rd
Williston, VT, 05495-7530
United States |
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| Phone Number : | 802-847-1440 |
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| Fax Number : | 802-847-3014 |
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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 : | 1619905072 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jun, 2006 |
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| Last Updated On : | 08 Jan, 2015 |
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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 Pamela Lee Jackson are as mentioned. Primary taxonomy code for Pamela Lee Jackson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 42-0008559 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Pamela Lee Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| E01148865 | MEDICAID | NY | |
| OVN0393 | MEDICAID | VT | |
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 : | 4 Harbor Ridge Rd
South Burlington, VT, 05403-7849
United States |
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| Phone Number : | 802-863-8962 |
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Business Location:
Patients can refer following map for directions to
Pamela Lee 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.