Dr. Elisha Jana Jackson
Female Pelvic Medicine and Reconstructive Surgeon
6651 Main St
Houston
, Texas 77030-2351
Dr. Elisha Jana Jackson
Female Pelvic Medicine and Reconstructive Surgeon
6651 Main St
Houston
, Texas 77030-2351
(816) 686-0222
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Elisha Jana Jackson
- 6991 Swede Johnsen Dr
- El Paso, TX
- Zip : 79912-7266
- Phone : (816) 686-0222
Second Address
- Dr. Elisha Jana Jackson
- 6651 Main St
- Houston, TX
- Zip : 77030-2351
- Phone : (328) 826-7735
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | S2996 | TX |
National Provider Identifier
| NPI | 1346506482 |
|---|---|
| Provider Name | Dr. Elisha Jana Jackson |
| First Address | El Paso, TX 79912-7266 |
| Second Address | Houston, TX 77030-2351 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2012 |
| Last Update Date | 28/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.