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Search › Virginia › 363LF0000X

Justin Jackson, NP

NPI 1427642636 · on the registry since 2021 · sole proprietor

Practice

Address
1375 W Ridge Rd
Wytheville, VA 24382
Phone
(276) 228-8686
Organisation at this address
Carilion Healthcare Corporation
Carilion Giles Community Hospital
Carilion Giles Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-22

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