DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL VINCENT JACKSON, MD

Active

DR. MICHAEL VINCENT JACKSON, MD is a Sports Medicine (IM) healthcare provider located in RENO, Nevada. NPI 1487637922 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · RENO, NV

Registration Details

NPI Number
1487637922
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2005 (20.669470091908 yrs)
Last Updated
Dec 20, 2017
Licenses
4867 (NV)
4867 (NV)
4867 (NV)

Practice Information

Address
236 W 6TH ST
STE 100
RENO, NV, 895034517
Browse NV providers · Browse ZIP 89503
Phone
7759825000
Fax
7759823900
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Pulmonary Disease
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Providers in RENO, NV

Name Credential NPI
KIMBERLY K YEAGER M.D., MPH 1194874214
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.