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Contact Information

VICKI A JACKSON, MD
55 FRUIT ST
PALLIATIVE CARE SERVICE FND 600
BOSTON, MA02114-2696
 Phone: 617-724-9197
 Fax: 617-724-8693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VICKI A JACKSON · (Female)

NPI # 1538159710
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 05/20/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • MA License # 156340
  • MA Medicaid 110007490A
  • NH Medicaid 3089030
  • MA Other J24683 BCBS MA
  • MA Other 156340 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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