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

Lisa Nicole Jackson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1487844973

Lisa Nicole Jackson, MD is an Obstetrics & Gynecology Physician in Jamaica, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

89-06 135th St Rm 6A
Jamaica, NY 11418
Phone: (718) 206-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 60 245188 (NY)

Record details

NPI number1487844973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESJuly 31, 2007

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