J. Phillip Jackson M.D.

  • NPI 1881675080
According to our database, the NPI number for J. Phillip Jackson M.D. is 1881675080 and activated since 18 years ago. J. Phillip Jackson M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 7980 W Jefferson Blvd, Fort Wayne, IN 46804. You can also contact J. Phillip Jackson M.D. via telephone number is (260) 436-9454. Provider NPI information was last updated on 02/22/2013.

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Overview of J. Phillip Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/07/2005
  • Last updated: 02/22/2013

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01037752A
  • License State: IN

Provider Mailing Address

  • Address: 3534 Brooklyn Ave
    Fort Wayne, IN 46809
  • Phone: 260-747-6171
  • Fax: 260-478-5125

Provider Practice Location

  • Address: 7980 W Jefferson Blvd
    Fort Wayne, IN 46804
  • Phone: 260-436-9454
  • Fax: 260-436-7836

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01037752A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000000000892
  • Identifier Type: Other
  • Identifier State:
  • Issuer: MPLAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for J. Phillip Jackson M.D.?
  • A: The npi number for J. Phillip Jackson M.D. is 1881675080.
  • Q: What are J. Phillip Jackson M.D.'s specialties?
  • A: J. Phillip Jackson M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for J. Phillip Jackson M.D.?
  • A: The medical license number for J. Phillip Jackson M.D. is 01037752A and issued in IN in USA.
  • Q: Where is J. Phillip Jackson M.D. practice location?
  • A: J. Phillip Jackson M.D. is practicing at 7980 W Jefferson Blvd, Fort Wayne, IN 46804.
  • Q: How to contact J. Phillip Jackson M.D.?
  • A: You can contact J. Phillip Jackson M.D. via 260-436-9454.