NPI 1093887960
Brooke a Jackson, MD
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
Dermatology Physician
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.