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DR. JOHN KEVIN JACKSON M.D. NPI 1750347878


NPI Information

NPI: 1750347878
Provider Name: DR. JOHN KEVIN JACKSON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
VA NEW ORLEANS DEPARTMENT OF MENTAL HEALTH
2400 CANAL STREET
NEW ORLEANS, LA
ZIP 70119
Phone: (504) 507-3380
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DR. John Kevin Jackson, M.D. is a neurology psychiatry neurology in New Orleans, LA. 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. John Kevin Jackson, M.D. NPI is 1750347878. 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:

VA NEW ORLEANS DEPARTMENT OF MENTAL HEALTH
2400 CANAL STREET
NEW ORLEANS, LA
ZIP 70119
Phone: (504) 507-3380

The NPI 1750347878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/16/2021.


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
12084B0040XPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry020998LOUISIANANo
22084P0800XPsychiatry & NeurologyPsychiatry020998LOUISIANANo
32084N0400XPsychiatry & NeurologyNeurology020998LOUISIANAYes

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
11684201MEDICAIDLOUISIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.