DR. Jon C Jackson M.D.

  • NPI 1093724551
According to our database, the NPI number for DR. Jon C Jackson M.D. is 1093724551 and activated since 17 years ago. DR. Jon C Jackson M.D. is an individual provider who specializes in Specialist, and the primary practice location is 4770 S Ridgewood Ave, Port Orange, FL 32127. You can also contact DR. Jon C Jackson M.D. via telephone number is (386) 761-0050. Provider NPI information was last updated on 07/09/2007.

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Overview of DR. Jon C Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/05/2006
  • Last updated: 07/09/2007

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: ME28054
  • License State: FL

Provider Mailing Address

  • Address: 4770 S Ridgewood Ave
    Port Orange, FL 32127
  • Phone: 386-761-0050
  • Fax: 386-761-1167

Provider Practice Location

  • Address: 4770 S Ridgewood Ave
    Port Orange, FL 32127
  • Phone: 386-761-0050
  • Fax: 386-761-1167

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: ME28054
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 013
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: CIGNA

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. Jon C Jackson M.D.?
  • A: The npi number for DR. Jon C Jackson M.D. is 1093724551.
  • Q: What are DR. Jon C Jackson M.D.'s specialties?
  • A: DR. Jon C Jackson M.D.'s specialties are Specialist and different specialities.
  • Q: What is the medical license for DR. Jon C Jackson M.D.?
  • A: The medical license number for DR. Jon C Jackson M.D. is ME28054 and issued in FL in USA.
  • Q: Where is DR. Jon C Jackson M.D. practice location?
  • A: DR. Jon C Jackson M.D. is practicing at 4770 S Ridgewood Ave, Port Orange, FL 32127.
  • Q: How to contact DR. Jon C Jackson M.D.?
  • A: You can contact DR. Jon C Jackson M.D. via 386-761-0050.