Search › Virginia › 122300000X
Mersedes Jackson, DDS
NPI 1639664527 · on the registry since 2018 · sole proprietor
Practice
- Address
- Kenner Army Health Clinic
700 24th Street
Fort Gregg-Adams, VA 23801 - Phone
- (804) 734-5365
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-07
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