| Doctor Name: | DR. LINDSEY NICOLE JACKSON |
| NPI Number: | 1013111681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, PHD |
| License Number: | N0125 |
| Business Practice Address: | 12337 Jones Rd Ste 427 Houston, TX - 770704951 |
| Business Phone Number: | 8329128603 |
| Business Fax Number: | |
| Mailing Address: | 308 E Edgewood Dr, FRIENDSWOOD |
| State: | TX |
| Postal Code: | 775463823 |
| Phone Number: | 2819924495 |
| Fax Number: | 2819927412 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | N0125 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |