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

DR. EDGAR BASIL JACKSON, MD

Active

DR. EDGAR BASIL JACKSON, MD is a Psychiatry healthcare provider located in MILWAUKEE, Wisconsin. NPI 1598833410 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · MILWAUKEE, WI

Registration Details

NPI Number: 1598833410
Provider Type: Individual
Gender: Male
NPI Issued: Nov 30, 2006 (19.516208312976 yrs)
Last Updated: Jul 3, 2024
Licenses: AJ8930984 XJ8930984 (WI)

13939-20 (WI)

Practice Information

Address: 1225 W MITCHELL ST

223

MILWAUKEE, WI, 532043383
Browse WI providers · Browse ZIP 53204
Phone: 4143834455
Fax: 4147278730
Primary Specialty: Psychiatry
2084P0800X
Additional Specialty: Psychiatry

Other Psychiatry Providers in MILWAUKEE, WI

Name	Credential	NPI
MR. GARY K SCHNELL	MD	1093700288
DR. LAURENCE CHARLES KAUTH	M.D.	1447247598
ALI O ARTAR	MD	1538156369
JAMES HURTH	MD	1376534487
DR. SRUTHA P RAJKUMAR	MD	1801887914
DR. ROBERT A DICKENS	MD	1831173673

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.