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

BRIAN JEFFREY JACKSON, CO, AT

Active

BRIAN JEFFREY JACKSON, CO, AT is a Orthotist healthcare provider located in SAINT PAUL, Minnesota. NPI 1134636921 is currently active in the NPPES registry. Verify at CMS.

Orthotist · SAINT PAUL, MN

Registration Details

NPI Number
1134636921
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2018 (8.4250263516493 yrs)
Last Updated
Jan 3, 2018

Practice Information

Address
1600 UNIVERSITY AVE W STE 10
SAINT PAUL, MN, 551043898
Browse MN providers · Browse ZIP 55104
Phone
6516467246
Fax
6516410726
Primary Specialty
Orthotist
222Z00000X

Other Orthotist Providers in SAINT PAUL, MN

Name Credential NPI
JULIE ANN LIEN O'CONNELL 1922215417
SCOTT LYNN LANGSTON 1497962708
MR. PATRICK SCOTT HINSHON CO 1952576225
BOBBI JO MUGAAS C.O. 1619354305
MAXWELL GOODMANSON 1841968351
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.