Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JACKSON, MD
ActiveDR. MARK JACKSON, MD is a Public Health & General Preventive Medicine healthcare provider located in FORT YATES, North Dakota. NPI 1528289881 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · FORT YATES, ND
Registration Details
- NPI Number
- 1528289881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.326483864958 yrs)
- Last Updated
- Jun 27, 2008
- License
-
012211 (ME)
Practice Information
- Address
-
10 STANDING ROCK AGENCY AVENUEFORT YATES, ND, 58538Browse ND providers · Browse ZIP 58538
- Phone
- 7018543831
- Fax
- 7018547411
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
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.