NPI 1386870285

Elizabeth Michele Jackson, MD

Practitioner Surgery Physician Kingsport, TN

Practice location

Address: 444 Clinchfield St Suite 2900, Kingsport, TN 37660-3606
Phone: (423) 245-6101
Fax: (423) 245-2396
Mailing address: 3044 Highland Grove Dr, Johnson City, TN 37615-4596

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 51246 (TN)

Other Surgery providers in Tennessee →

Registry record

NPI: 1386870285
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2009
Record last updated: 1 Dec 2014

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.