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Heather Jackson, D.O
NPI 1104034008 · on the registry since 2007
Practice
- Address
- 2322 Lakeview Dr
Beavercreek, OH 45431 - Phone
- (937) 426-0106
- Fax
- (937) 426-7153
- Organisation at this address
- Premier Integrated Medical Assoc Ltd
Premier Integrated Medical Assoc Ltd
Advance Internal Medicine Primary Care ,LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio