Whalio Doctors

NPI 1093887960

Brooke a Jackson, MD

Practitioner Dermatology Physician Durham, NC

Practice location

Address
245 E Nc Highway 54 Suite 202, Durham, NC 27713-2551
Phone
(919) 294-9440
Fax
(919) 237-3899
Mailing address
245 East Nc Highway 54 Suite 202, Durham, NC 27713

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2013-00616 (NC)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036093014 (IL)

Registry record

NPI
1093887960
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2006
Record last updated
11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.