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

Dr. Hollace D Jackson, MD

Individual provider Specialist · NPI 1558423996

Dr. Hollace D Jackson, MD is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

462 1st Ave
New York, NY 10016-9196 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 562-5823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 109178 (NY)

Record details

NPI number1558423996
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 8, 2007

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