Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A JACKSON
Active Sole ProprietorMARK A JACKSON is a Radiology, Mammography healthcare provider located in GAINESVILLE, Florida. NPI 1013622687 is currently active in the NPPES registry. Verify at CMS.
Radiology, Mammography · GAINESVILLE, FL
Registration Details
- NPI Number
- 1013622687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2023 (3.5943685914154 yrs)
- Last Updated
- Jan 18, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
4340 NEWBERRY RD STE 104GAINESVILLE, FL, 326072557Browse FL providers · Browse ZIP 32607
- Phone
- 3523773100
- Fax
- 3523771286
- Primary Specialty
-
Radiology, Mammography
261QR0200X
Other Radiology, Mammography Providers in GAINESVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| VICKY J BALLARD | — | 1720793300 |
| SHANNON M BRADLEY | — | 1003521683 |
| JONATHAN FIMMEL | — | 1104669795 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.