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Search › Virginia › 103K00000X

Jacquelin Jackson

NPI 1497058697 · on the registry since 2010

Practice

Address
11240 Waples Mill Rd
101
Fairfax, VA 22030
Phone
(703) 237-2219
Organisation at this address
Axiom Link
Axiom Link
Matrix Med Inc
Sun Medical Llc
Axiom Link, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-03

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