Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH JASON JACKSON, MD
ActiveKENNETH JASON JACKSON, MD is a Family Medicine healthcare provider located in LEBANON, New Hampshire. NPI 1174083810 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LEBANON, NH
Registration Details
- NPI Number
- 1174083810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2019 (7.4044464545158 yrs)
- Last Updated
- Aug 19, 2022
- License
-
22456 (NH)
Practice Information
- Address
-
18 OLD ETNA RDLEBANON, NH, 037661937Browse NH providers · Browse ZIP 03766
- Phone
- 6036505000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LEBANON, NH
| Name | Credential | NPI |
|---|---|---|
| ERIC BRONSTEIN | MD | 1760478770 |
| BRIAN P LOMBARDO | MD | 1750377768 |
| MARGARET D STEPHENS | MD | 1366438376 |
| DR. DEBORAH A GLAZER | M.D. | 1053300095 |
| VIRGINIA L ALVORD | MD | 1225012420 |
| JULIE S. TAYLOR | MD | 1265417836 |
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.