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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851634877

Dr. Van Rieves Jackson IV, DPM is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

360 State St Apt 1708
New Haven, CT 06510-3614
Phone: (214) 336-5860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1851634877
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESSeptember 4, 2013

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