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Search › Indiana › 207V00000X

Althea Jackson, M.D

NPI 1306838321 · on the registry since 2005

Practice

Address
2510 E Dupont Rd
Suite 100
Fort Wayne, IN 46825
Phone
(260) 490-9883
Fax
(260) 490-0064
Organisation at this address
Kids.Healthcare Pc
T-Med Services, Inc
Daniel E Krach Md Pc
Allied Physicians Inc
Allied Physicians Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207V00000X
Licence states on file
IN, PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana