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General NPI Number Information
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NPI Number | 1558716142
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Entity Type | Individual
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Provider Name | JOYCE MARIE JACKSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6640 CYPRESSWOOD DR STE 200
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City | SPRING
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State | TX
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Zip | 77379-7738
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Country | US
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Telephone | 888-718-8186
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Fax | 832-327-7868
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Provider Business Mailing Address
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Address Line | PO BOX 691989
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City | HOUSTON
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State | TX
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Zip | 77269-1989
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Country | US
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Telephone | 888-718-8186
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Fax | 832-327-7868
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | S1780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S1780
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License Number State | TX
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