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

Dr. Jay A Jackson, MD

Individual provider Cardiovascular Disease Physician · NPI 1558360743

Dr. Jay A Jackson, MD is a Cardiovascular Disease Physician in Shawnee Mission, Kansas. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9119 W 74th St Ste 350
Shawnee Mission, KS 66204-2215
Phone: (913) 789-3290
Fax: (913) 789-3208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence R8D86 (MO)

Record details

NPI number1558360743
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESSeptember 11, 2013
Mailing address9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215

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