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

Jackson Primary Care LLC

Organization Family Medicine Physician · NPI 1619961380

Jackson Primary Care LLC is a Family Medicine Physician in Jackson, Missouri. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2685 E Main St Ste A Ste A
Jackson, MO 63755
Phone: (573) 204-1400
Fax: (573) 204-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1619961380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Siemer — Owner · (573) 204-1400
NPI enumeratedSeptember 8, 2005
Last updated in NPPESOctober 26, 2010
Mailing address2685 E Main St Suite A, Ste A, Jackson, MO 63755

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