Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTHONY WADE JACKSON SR., M.D.
Active Sole ProprietorDR. ANTHONY WADE JACKSON SR., M.D. is a Psychiatric Neurology healthcare provider located in OXFORD, Mississippi. NPI 1154477453 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · OXFORD, MS
Registration Details
- NPI Number
- 1154477453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2007 (19.563366881191 yrs)
- Last Updated
- Sep 9, 2015
- License
-
14917 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 HIGHWAY 7 SOXFORD, MS, 386555392Browse MS providers · Browse ZIP 38655
- Phone
- 6624888878
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
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.