Jean Leigh Jackson
Pediatric Emergency Physician
2014 Washington St
Newton
, Massachusetts 02462
Jean Leigh Jackson
Pediatric Emergency Physician
2014 Washington St
Newton
, Massachusetts 02462
(781) 893-8896
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Jean Leigh Jackson
- 26 Bittersweet Ln
- Weston, MA
- Zip : 02493
- Phone : (781) 893-8896
Second Address
- Jean Leigh Jackson
- 2014 Washington St
- Newton, MA
- Zip : 02462
- Fax : (617) 243-6924
- Phone : (617) 243-6040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 07406 | RI |
| Y | 207PP0204X | Pediatric Emergency Physician | 212899 | MA |
National Provider Identifier
| NPI | 1700840162 |
|---|---|
| Provider Name | Jean Leigh Jackson |
| First Address | Weston, MA 02493 |
| Second Address | Newton, MA 02462 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 15/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 212899 | TUFTS (01) | |
| 3204821 | (05) | MA |
| 5480 | HP (01) | |
| E67417 | (02) | |
| J25711 | BLUE SHIELD (01) |
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.