DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN M JACOCKS, M.D.

Active

DR. JOHN M JACOCKS, M.D. is a 2083A0100X healthcare provider located in FORT BELVOIR, Virginia. NPI 1063403020 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · FORT BELVOIR, VA

Registration Details

NPI Number
1063403020
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2005 (20.813397018631 yrs)
Last Updated
Apr 27, 2022
Licenses
7019 (HI)
7019 (HI)

Practice Information

Address
FBCH - AVIATION MEDICINE CLINIC
9300 DEWITT LOOP
FORT BELVOIR, VA, 22060
Browse VA providers · Browse ZIP 22060
Phone
5712317334
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
2083A0100X

Other 2083A0100X Providers in FORT BELVOIR, VA

Name Credential NPI
DR. KATHRYN ROBB O'DONNELL DO 1235129925
SUSAN FONDY M.D. 1477538213
JOHN P HUSAK D.O. 1295714087
DR. RICHARD G. SEDLAK M.D. 1518161918
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.