IndividualActive
Teresa Jackson-Novak, MD
NPI 1700982444 · Addiction Medicine (Preventive Medicine) Physician · Rancho Mirage, CA
Provider details
- NPI number
- 1700982444
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A71589 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
39407 Vista Del Sol
Rancho Mirage, CA 92270-3283
Phone: (760) 423-6811
Approximate (ZIP-level) locationGet directions
Mailing address
39407 Vista Del Sol
Rancho Mirage, CA 92270-3283
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.