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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336515295

Dr. Miles Jackson, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
3
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

300 W Washington Ave Ste 300
Jackson, MI 49201-2160
Phone: (517) 205-1305
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301508401 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 4301508401 (MI)

Record details

NPI number1336515295
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2015
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

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