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DR JOE A JACKSON MD PLLC NPI 1114398427


NPI Information

NPI: 1114398427
Provider Name: DR JOE A JACKSON, MD PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
224 E GARDEN ST
SUITE 5B BOX J16
PENSACOLA, FL
ZIP 32502
Phone: (850) 469-1330
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DR JOE A JACKSON, MD PLLC is a neurology psychiatry neurology in Pensacola, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR JOE A JACKSON, MD PLLC NPI is 1114398427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 E GARDEN ST
SUITE 5B BOX J16
PENSACOLA, FL
ZIP 32502-068
Phone: (850) 469-1330
Fax: (850) 469-1554

The provider's authorized official is Joe A Jackson .
The authorized official title is Owner and has the following contact phone number (850) 469-1330.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology85613FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D00683MEDICARE UPINMISSISSIPPI
200013024MEDICAIDMISSISSIPPI

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: 11/14/2023

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