Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALTHEA J. JACKSON, M.D.
ActiveALTHEA J. JACKSON, M.D. is a Obstetrics & Gynecology healthcare provider located in FORT WAYNE, Indiana. NPI 1306838321 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1306838321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2005 (20.806933109663 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
01052580A (IN)MD040658E (PA)
Practice Information
- Address
-
2510 E DUPONT RDSUITE 100FORT WAYNE, IN, 468251600Browse IN providers · Browse ZIP 46825
- Phone
- 2604909883
- Fax
- 2604900064
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| CHIK AMECHI | M.D. | 1578568085 |
| MICHELE L HELFGOTT | M.D. | 1285633990 |
| SAILAJA M BLACKMON | MD | 1316946718 |
| JOHN E DRAKE | D.O. | 1265431589 |
| RONALD L BAKER | M.D. | 1952300329 |
| LORA OVERTON | DO | 1255332664 |
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.