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

R. Bruce Jackson II, MD, PA

Organization Obstetrics & Gynecology Physician · NPI 1619064573

R. Bruce Jackson II, MD, PA is an Obstetrics & Gynecology Physician in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 Longvue Dr
Boone, NC 28607-5060
Phone: (828) 262-9696
Fax: (828) 265-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 24975 (NC)

Record details

NPI number1619064573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Jackson — Doctor · (828) 262-9696
NPI enumeratedOctober 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address222 Longvue Dr, Boone, NC 28607-5060

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