Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miss. Katrina E Jackson, LSA, CSFA

Individual provider Surgery Physician · NPI 1992428890

Miss. Katrina E Jackson, LSA, CSFA is a Surgery Physician in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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Practice location Address checks out

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone: (434) 654-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0136000370 (VA)

Record details

NPI number1992428890
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA , CSFA
Sole proprietorYes
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 25, 2022

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