Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Maria Jackson, DO

Individual provider Family Medicine Physician · NPI 1104034008

Heather Maria Jackson, DO is a Family Practice in Beavercreek, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2003, 23 years ago. Licensed in Ohio.

Years since qualifying
23
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2322 Lakeview Dr
Beavercreek, OH 45431-2772
Phone: (937) 426-0106
Fax: (937) 426-7153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34010401 (OH)

Record details

NPI number1104034008
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 6, 2014
Mailing address4700 Smith Rd, Ste A, Cincinnati, OH 45212-2787

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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