Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Pediatrics PC

Organization Pediatrics Physician · NPI 1316158272

Jackson Pediatrics PC provides Pediatrics Physician services in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
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

557 E Broadway 557 E Broadway
Jackson, WY 83001-8300 Not confirmed with CMS for 13 years — call before visiting
Phone: (307) 733-4627
Fax: (307) 733-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2242A (WY)

Record details

NPI number1316158272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Little — Owner · (307) 733-4627
Other names Jackson Pediatrics Pc
NPI enumeratedMay 24, 2007
Last updated in NPPESOctober 24, 2013
Mailing addressPo Box 1029, 557 E. Broadway, Jackson, WY 83001-1029

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