CANDACE LYNN JACKSON MD NPI 1861997298

NPI Information

Candace Lynn Jackson, MD is a cardiovascular disease internal medicine in La Jolla, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Candace Lynn Jackson, MD NPI is 1861997298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9434 MEDICAL CENTER DR # MC7411
LA JOLLA, CA
ZIP 92037-337
Phone: (858) 657-8530

The NPI 1861997298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2018 and was last updated on 3/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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