DR. Hollace D Jackson, M.D. is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Hollace D Jackson, M.D. NPI is 1558423996. 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:
462 1ST AVE
NEW YORK, NY
ZIP 10016-196
Phone: (212) 562-5823
The NPI 1558423996 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 12/14/2006 and was last updated on 7/8/2007.