SearchVirginia101YP1600X

Katherine Jackson, M.DIV

NPI 1619412228 · on the registry since 2017 · sole proprietor

Practice

Address
1221 Jefferson Park Ave
Charlottesville, VA 22908
Phone
(434) 924-2642
Fax
(434) 924-1139

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Also registered as
282NC0060X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-05

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