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

Jeanette Jacknin, MD

Individual provider Dermatology Physician · NPI 1225493323

Jeanette Jacknin, MD is a Dermatology Physician in San Diego, California. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12634 Carmel Country Rd Ste 126
San Diego, CA 92130-3197
Phone: (480) 577-3785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 22825 (AZ)

Record details

NPI number1225493323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 16, 2015
Last updated in NPPESDecember 16, 2015

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