DR. IVOR JACKSON MD NPI 1023089265

NPI Information

NPI: 1023089265
Provider Name: DR. IVOR JACKSON, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
4600 MILITARY TRAIL
SUITE 218
JUPITER, FL
ZIP 33458
Phone: (561) 626-9041
Get Directions

DR. Ivor Jackson, MD is an endocrinology and diabetes and metabolism internal medicine in Jupiter, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Ivor Jackson, MD NPI is 1023089265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4600 MILITARY TRAIL
SUITE 218
JUPITER, FL
ZIP 33458-813
Phone: (561) 626-9041

The enumeration date for this NPI number is 1/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	ME 86546	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	001 010323	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND
2	9006212	MEDICAID	RHODE ISLAND
3	C90592	MEDICARE UPIN	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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