J. Phillip Jackson, MD
J. Phillip Jackson, MD is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7980 W Jefferson BlvdFort Wayne, IN 46804-4170
Phone: (260) 436-9454
Fax: (260) 436-7836
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01037752A (IN) |
|---|
Record details
| NPI number | 1881675080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 7, 2005 |
| Last updated in NPPES | February 22, 2013 |
| Mailing address | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
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Hospital Care Group, PC
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-
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