Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY D JACKSON, MD, SA-C
Active Sole ProprietorDR. TIMOTHY D JACKSON, MD, SA-C is a Clinical Chemistry Technician healthcare provider located in GULFPORT, Mississippi. NPI 1093710089 is currently active in the NPPES registry. Verify at CMS.
Clinical Chemistry Technician · GULFPORT, MS
Registration Details
- NPI Number
- 1093710089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.117768126957 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
14510 (MS)19-516
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 13TH STGULFPORT, MS, 395012515Browse MS providers · Browse ZIP 39501
- Phone
- 2283049436
- Primary Specialty
-
Clinical Chemistry Technician
246ZC0007X
- Additional Specialty
- Clinical Chemistry Technician
Other Clinical Chemistry Technician Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| JOHNATHON R HERRON | CSFA, CST | 1639736432 |
| MRS. BRITTANY THREATT | CSFA | 1255940110 |
| MRS. PARRI B ADJOODANI | — | 1063006013 |
| MRS. THAI THAO WOODCOCK | CSFA | 1194466813 |
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.