Dr. Jacqueline Kay Jackson
Family Doctor - Adult Medicine
1621 Ne Waldo Rd
Gainesville
, Florida 32609-3900
Dr. Jacqueline Kay Jackson
Family Doctor - Adult Medicine
1621 Ne Waldo Rd
Gainesville
, Florida 32609-3900
(352) 264-8304
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Kay Jackson
- 1200 Ne 55th Blvd
- Gainesville, FL
- Zip : 32641-2759
- Fax : (352) 264-8304
- Phone : (352) 264-8272
Second Address
- Dr. Jacqueline Kay Jackson
- 1621 Ne Waldo Rd
- Gainesville, FL
- Zip : 32609-3900
- Fax : (352) 264-8304
- Phone : (352) 264-8272
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | ME 0058078 | FL |
National Provider Identifier
| NPI | 1104157643 |
|---|---|
| Provider Name | Dr. Jacqueline Kay Jackson |
| First Address | Gainesville, FL 32641-2759 |
| Second Address | Gainesville, FL 32609-3900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2010 |
| Last Update Date | 25/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010829000 | (05) | FL |
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.