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

Jay Samuel Jackson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255273470

Jay Samuel Jackson, DO is a Student in an Organized Health Care Education/Training Program in Baraboo, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1700 Tuttle St
Baraboo, WI 53913-3319
Phone: (608) 355-3800
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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 number1255273470
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address1100 Delaplaine Ct, Madison, WI 53715-1840

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