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

Jackson Medical Center PC

Organization Family Medicine Physician · NPI 1508048125

Jackson Medical Center PC is a Family Medicine Physician in Jackson, Missouri. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2387 W Jackson Blvd
Jackson, MO 63755-3024
Phone: (573) 243-9288
Fax: (573) 204-7074
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1508048125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Cantrell — Manager · (573) 335-1779
NPI enumeratedDecember 5, 2007
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address2387 W Jackson Blvd, Jackson, MO 63755-3024

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