Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE JACKSON, MD
Active OrganizationLESLIE JACKSON, MD is a Family Medicine organization located in TAYLORVILLE, Illinois. NPI 1386821502 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TAYLORVILLE, IL
Registration Details
- NPI Number
- 1386821502
- Provider Type
- Organization
- NPI Issued
- Jan 30, 2008 (18.356798242922 yrs)
- Last Updated
- Jun 24, 2008
- License
-
036072876 (IL)
Practice Information
- Address
-
115 E PLEASANT STTAYLORVILLE, IL, 625681560Browse IL providers · Browse ZIP 62568
- Phone
- 2178243757
- Fax
- 2178249604
- Primary Specialty
-
Family Medicine
207Q00000X
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.