Jackson, Jill Kimberly

Jackson, Jill Kimberly is an individual health care provider with primary practice located at 1435 Wyn Cove Dr , Vero Beach FL 32963-2558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jackson, Jill Kimberly can be contacted via phone (703) 577-1002.

Contact Information

Primary practice address
1435 Wyn Cove Dr Vero Beach FL 32963-2558
Phone: (703) 577-1002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 269804 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME Florida

Profile Details

NPI number 1508183617
LBN Legal business name Jackson, Jill Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2010
Last updated Feb 11th, 2016 - about 9 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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