Search › Virginia › 183700000X
Edward Jackson
NPI 1386222859 · on the registry since 2021
Practice
- Address
- 11214 Jefferson Ave
Newport News, VA 23601 - Phone
- (757) 327-7478
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-29
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 Virginia