Search › Indiana › Family Medicine Physician
J. Jackson, M.D
NPI 1881675080 · on the registry since 2005
Practice
- Address
- 7980 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 436-9454
- Fax
- (260) 436-7836
- Organisation at this address
- Lutheran Medical Group Llc
Brooklyn Medical Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-22
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