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

DR. JOHN RONALD JACKSON, M.D.

Active

DR. JOHN RONALD JACKSON, M.D. is a Obstetrics & Gynecology healthcare provider located in EDGEWOOD, Kentucky. NPI 1114922911 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · EDGEWOOD, KY

Registration Details

NPI Number
1114922911
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2005 (21.140771030534 yrs)
Last Updated
Apr 27, 2023
Licenses
35. 073600 (OH)
34447 (KY)

Practice Information

Address
20 MEDICAL VILLAGE DR
STE 302
EDGEWOOD, KY, 410175402
Browse KY providers · Browse ZIP 41017
Phone
8593412510
Fax
8595785888
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in EDGEWOOD, KY

Name Credential NPI
DR. VINCENT THOMAS BILOTTA M.D. 1043213028
DR. PAUL ALLEN JACOBS M.D. 1841295243
DR. MICHAEL JOESPH GERWE M.D. 1124023429
DR. JOHN ANDREW DARPEL M.D. 1194720490
DR. ADAM THOMAS CRAWFORD M.D. 1386649101
DR. MICHAEL RAYMOND KIRKWOOD M.D. 1336144112
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.