Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN W JACKSON, M.D.
ActiveDR. STEPHEN W JACKSON, M.D. is a Urology healthcare provider located in CLEVELAND, Tennessee. NPI 1386609808 is currently active in the NPPES registry. Verify at CMS.
Urology · CLEVELAND, TN
Registration Details
- NPI Number
- 1386609808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2006 (20.342356346668 yrs)
- Last Updated
- Oct 23, 2007
- License
-
MD017093 (TN)
Practice Information
- Address
-
400 BERYWOOD TRL NWSUITE BCLEVELAND, TN, 373125287Browse TN providers · Browse ZIP 37312
- Phone
- 4234723201
- Fax
- 4234764949
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in CLEVELAND, TN
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER C THACKER | M.D. | 1881658664 |
| EDWARD M MCINTIRE JR. | M.D. | 1184689788 |
| DR. GRANT PEGRAM SIMMONS | M.D. | 1982751921 |
| DANIEL BOX | — | 1083970198 |
| MR. JOSEPH ALEXANDER IVEY III | — | 1376079269 |
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.