NPI 1376805812

Nathan Andrew Merl Jackson, DO

Practitioner Dermatology Physician Danville, VA

Practice location

Address: 117 Executive Dr, Danville, VA 24541-4101
Phone: (434) 792-0423
Mailing address: 4545 Riverside Dr STE D, Danville, VA 24541-5173

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 1376805821 (VA)

Other Dermatology providers in Virginia →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OT014572 (PA)

Other Family Medicine providers in Virginia →

Registry record

NPI: 1376805812
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2012
Record last updated: 19 Oct 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.