IndividualActive
Bernice Jackson, M.D.
NPI 1639195407 · Cardiovascular Disease Physician · Washington, DC
Provider details
- NPI number
- 1639195407
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD17118 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1160 Varnum St Ne
Suite 314
Washington, DC 20017-2107
Phone: (202) 269-9249
Fax: (202) 269-9271
Approximate (ZIP-level) locationGet directions
Mailing address
15009 Notley Rd
Silver Spring, MD 20905-7438
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2011-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.