Search › Virginia › 225100000X
Azeb Jackson
NPI 1588498075 · on the registry since 2024
Practice
- Address
- 4900 High St W
Portsmouth, VA 23703 - Phone
- (757) 354-6988
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-28
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