Doctor Name: | ALTHEA J. JACKSON |
NPI Number: | 1306838321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD040658E |
Business Practice Address: | 2510 E Dupont Rd Suite 100 Fort Wayne, IN - 468251600 |
Business Phone Number: | 2604909883 |
Business Fax Number: | 2604900064 |
Mailing Address: | 1330 Powell St, Suite 507 NORRISTOWN |
State: | PA |
Postal Code: | 194013353 |
Phone Number: | 6102799003 |
Fax Number: | 6102702654 |
NPI Enumeration Date: | 08/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD040658E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |