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

NATHAN ROBERT JACKSON, IDC

Active

NATHAN ROBERT JACKSON, IDC is a Independent Duty Corpsman healthcare provider located in KINGSVILLE, Texas. NPI 1134790728 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · KINGSVILLE, TX

Registration Details

NPI Number
1134790728
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2021 (5.0754605696079 yrs)
Last Updated
Jan 6, 2025

Practice Information

Address
730 FORRESTAL ST BLDG 3775
KINGSVILLE, TX, 783635112
Browse TX providers · Browse ZIP 78363
Phone
3615166266
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in KINGSVILLE, TX

Name Credential NPI
DANIEL CHARLES HANSEN IDC 1588691372
EMMANUEL BUSINGYE-NKWIZIRE IDC 1831584762
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.