Derrick Jackson, DPM

NPI 1518080811 · on the registry since 2007

Practice

Address: 420 Oak Hill Avenue
Youngstown, OH 44502
Phone: (330) 870-3900
Fax: (330) 870-3901
Organisation at this address: Gentle Footcare Llc
Vascular Institute Of Youngstown Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 213E00000X
213ER0200X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-05

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 Ohio