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

Dr. Kevin Wade Jackson, MD

Individual provider Psychiatry Physician · NPI 1770103624

Dr. Kevin Wade Jackson, MD is a Psychiatry Physician in Fort Bliss, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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

18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone: (915) 742-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence V1796 (TX)

Record details

NPI number1770103624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 12, 2026
Certification dateApril 12, 2026
Mailing address18511 Highlander Medics St, Fort Bliss, TX 79906-5327

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