DR. Ivan D. Jackson MD

  • NPI 1205839362
According to our database, the NPI number for DR. Ivan D. Jackson MD is 1205839362 and activated since 18 years ago. DR. Ivan D. Jackson MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 210 Westside Dr, Dothan, AL 36303. You can also contact DR. Ivan D. Jackson MD via telephone number is (334) 793-5074. Provider NPI information was last updated on 03/03/2021.

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Overview of DR. Ivan D. Jackson MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/23/2005
  • Last updated: 03/03/2021

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 11508
  • License State: AL

Provider Mailing Address

  • Address: 210 Westside Dr
    Dothan, AL 36303
  • Phone: 334-793-5074
  • Fax: 334-793-6460

Provider Practice Location

  • Address: 210 Westside Dr
    Dothan, AL 36303
  • Phone: 334-793-5074
  • Fax: 334-793-6460

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 11508
  • License State: AL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000015699
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Ivan D. Jackson MD?
  • A: The npi number for DR. Ivan D. Jackson MD is 1205839362.
  • Q: What are DR. Ivan D. Jackson MD's specialties?
  • A: DR. Ivan D. Jackson MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for DR. Ivan D. Jackson MD?
  • A: The medical license number for DR. Ivan D. Jackson MD is 11508 and issued in AL in USA.
  • Q: Where is DR. Ivan D. Jackson MD practice location?
  • A: DR. Ivan D. Jackson MD is practicing at 210 Westside Dr, Dothan, AL 36303.
  • Q: How to contact DR. Ivan D. Jackson MD?
  • A: You can contact DR. Ivan D. Jackson MD via 334-793-5074.