Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD EVAN JACKSON, MD
Active Sole ProprietorDR. RICHARD EVAN JACKSON, MD is a Psychiatry healthcare provider located in JOHNSON CITY, Tennessee. NPI 1457359770 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1457359770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (20.911413009057 yrs)
- Last Updated
- Jul 17, 2014
- Licenses
-
15545 (TN)15545 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 PINNACLE DRSUITE 107JOHNSON CITY, TN, 376156602Browse TN providers · Browse ZIP 37615
- Phone
- 4233287332
- Fax
- 4232071222
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Addiction Psychiatry
Other Psychiatry Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| DR. FERNANDO BENDFELDT | M.D. | 1205830536 |
| DR. HETAL K. BRAHMBHATT | M.D. | 1841283199 |
| WILLIAM DIEBOLD | MD | 1770573511 |
| BRIAN R BONFARDIN | MD | 1356322515 |
| SWARNA REDDY | MD | 1528044583 |
| CHARLES E GAINES | DO | 1649236753 |
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.