Ashley Paredes Jackson, DO
Student in an Organized Health Care Education/Training Program in Syracuse, NY. Individual provider (NPI-1).
Details
- NPI
- 1649023904
- Entity type
- Individual (NPI-1)
- Name
- Ashley Paredes Jackson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
301 Prospect AveSyracuse, NY 13203-1807
Phone 315-448-5111
Mailing address
301 Prospect AveSyracuse, NY 13203-1807
Phone 315-448-5111
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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