Jackson, Jamie Crystal

Jackson, Jamie Crystal is an individual health care provider with primary practice located at 1675 Trinity Dr , Pensacola FL 32504-5708. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jackson, Jamie Crystal can be contacted via phone (850) 416-7710.

Contact Information

Primary practice address
1675 Trinity Dr Pensacola FL 32504-5708
Phone: (850) 416-7710
Fax: (850) 416-6729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.203018 Louisiana
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 121872 Florida
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X MD.203018 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 121872 Florida

Profile Details

NPI number 1033389879
LBN Legal business name Jackson, Jamie Crystal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2008
Last updated Apr 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033389879 NPPES
Florida MEDICAID 023386100
Florida MEDICAID 1457299

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