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

Jeffrey J Ickler, MD

Individual provider Surgery Physician · NPI 1477656528

Jeffrey J Ickler, MD is a Surgery Physician in Diberville, Mississippi. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10241 Boney Ave Ste A
Diberville, MS 39540-4889
Phone: (228) 967-7651
Fax: (228) 967-7653
Show map & directions

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

Additional practice locations (1)

  • 1700 Spring Hill Ave, Mobile, AL 36604-1407 — (251) 438-4440

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 00022258 (AL)

Record details

NPI number1477656528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address10241 Boney Ave Ste A, Diberville, MS 39540-4889