DAVID K JACKSON PHD MSCP NPI 1053464339

NPI Information

  • NPI: 1053464339
  • Provider Name: DAVID K JACKSON, PHD MSCP
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Individual
  • Address: 200 HENRY CLAY AVE
    NEW ORLEANS, LA
    ZIP 70118
  • Phone: (504) 896-7272

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NPI Details

David K Jackson, PHD MSCP is a prescribing (medical) psychologist in New Orleans, LA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. David K Jackson, PHD MSCP NPI is 1053464339. 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:

200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118-911
Phone: (504) 896-7272

The enumeration date for this NPI number is 1/19/2007 and was last updated on 5/7/2008.

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
1103TP0016XPsychologistPrescribing (Medical)694MPLOUISIANAYes

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 Other Provider Identifier Issuer
11677833MEDICAIDLOUISIANA
25T935CF42MEDICARE PINLOUISIANA

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: 11/21/2025

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