Jackson, Andrea M.

Jackson, Andrea M. is an individual health care provider with primary practice located at 4376 Germanna Hwy , Locust Grove VA 22508-2008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson, Andrea M. can be contacted via phone (540) 972-7798.

Contact Information

Primary practice address
4376 Germanna Hwy Locust Grove VA 22508-2008
Phone: (540) 972-7798
Fax: (540) 972-3536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C1-0025384 Delaware
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA11775800 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 95446 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME161053 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101039547 Virginia

Profile Details

NPI number 1528179215
LBN Legal business name Jackson, Andrea M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 26th, 2023 - about 3 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 1528179215 NPPES
Virginia MEDICAID 1528179215

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