Search › Mississippi › 208600000X
Jeffrey Ickler, M.D
NPI 1477656528 · on the registry since 2006
Practice
- Address
- 10241 Boney Ave Ste A
Diberville, MS 39540 - Phone
- (228) 967-7651
- Fax
- (228) 967-7653
- Organisation at this address
- Praetorian Health Services, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1700 Spring Hill Ave, Mobile, AL
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-07
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 Mississippi