Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Jerry S Jackson & Associates P A

Organization Podiatric Clinic/Center · NPI 1235235136

Dr Jerry S Jackson & Associates P A is a Podiatric Clinic/Center in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006

Practice location Address checks out

113 Delaware St Ste D
Leavenworth, KS 66048-2822
Phone: (913) 682-4335
Fax: (913) 682-2985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X · Licence 145 (KS)

Record details

NPI number1235235136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Jackson — President · (913) 682-4335
Other names Dr Jerry S Jackson And Associates P A
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJune 26, 2013
Mailing address113 Delaware St, Suite D, Leavenworth, KS 66048-2822