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

Dr. Mary Tallmadge Jackson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1043296882

Dr. Mary Tallmadge Jackson, MD is an Obstetrics & Gynecology Physician in Arroyo Grande, California. Licensed in California and Hawaii. Registered with an NPI since 2005.

Licensed in
CA, HI
In the registry since
2005
Specialties on file
2
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

120 Corbett Canyon Rd
Arroyo Grande, CA 93420-5151
Phone: (805) 459-0529
Fax: (805) 474-8555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence G56252 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 6198 (HI)

Record details

NPI number1043296882
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESJuly 13, 2026

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