Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY J ICKLER, M.D.
ActiveJEFFREY J ICKLER, M.D. is a General Surgery healthcare provider located in DIBERVILLE, Mississippi. NPI 1477656528 is currently active in the NPPES registry. Verify at CMS.
General Surgery · DIBERVILLE, MS
Registration Details
- NPI Number
- 1477656528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.955630122263 yrs)
- Last Updated
- May 7, 2025
- License
-
00022258 (AL)
Practice Information
- Address
-
10241 BONEY AVE STE ADIBERVILLE, MS, 395404889Browse MS providers · Browse ZIP 39540
- Phone
- 2289677651
- Fax
- 2289677653
- Primary Specialty
-
General Surgery
208600000X
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.