IndividualActive
Elisha Jackson, M.D.
NPI 1346506482 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · New Haven, CT
Provider details
- NPI number
- 1346506482
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 81231 (TX)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
333 Cedar St
New Haven, CT 06510-3206
Phone: (203) 432-4771
Approximate (ZIP-level) locationGet directions
Mailing address
8703 Morris Woods Dr
Missouri City, TX 77459-3888
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.