Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN G JACKSON, M.D.
ActiveJOHN G JACKSON, M.D. is a Family Medicine healthcare provider located in LAROSE, Louisiana. NPI 1063497683 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAROSE, LA
Registration Details
- NPI Number
- 1063497683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.69007375669 yrs)
- Last Updated
- Jan 30, 2023
- Licenses
-
MD15556 (OR)MD019331 (LA)
Practice Information
- Address
-
13030 HIGHWAY 308LAROSE, LA, 703732001Browse LA providers · Browse ZIP 70373
- Phone
- 9857987000
- Fax
- 9857987021
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAROSE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. CAMILLE CALLAIS PITRE | M.D. | 1073568341 |
| DARREN J. DUET | MD | 1053468512 |
| AMANDA OLIVIER ROGERS | M.D. | 1073977054 |
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.