Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR JERRY S JACKSON & ASSOCIATES P A
Active OrganizationDR JERRY S JACKSON & ASSOCIATES P A is a Podiatric Clinic organization located in LEAVENWORTH, Kansas. NPI 1235235136 is currently active in the NPPES registry. Verify at CMS.
Podiatric Clinic · LEAVENWORTH, KS
Registration Details
- NPI Number
- 1235235136
- Provider Type
- Organization
- NPI Issued
- Sep 16, 2006 (19.929723701396 yrs)
- Last Updated
- Jun 26, 2013
- License
-
145 (KS)
Practice Information
- Address
-
113 DELAWARE STSUITE DLEAVENWORTH, KS, 660482822Browse KS providers · Browse ZIP 66048
- Phone
- 9136824335
- Fax
- 9136822985
- Primary Specialty
-
Podiatric Clinic
261QP1100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.