Search › Virginia › 101YM0800X
Keira Jackson
NPI 1699249839 · on the registry since 2019 · sole proprietor
Practice
- Address
- 8601 Rose Mallow Dr Apt 415
Manassas, VA 20109 - Phone
- (757) 232-9100
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-14
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