Search › California › 208C00000X
Doreen Jackson, MD
NPI 1649615287 · on the registry since 2013 · sole proprietor
Practice
- Address
- 101 Bodin Circle
Travis Air Force Base, CA 94535 - Phone
- (919) 753-6879
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208C00000X
208C00000X
- Also registered as
- 208600000X
208C00000X
208D00000X - Licence states on file
- CA, FL, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-19
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 California