Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN POPP JACKSON, M.D.
ActiveDR. BENJAMIN POPP JACKSON, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in BUCKHANNON, West Virginia. NPI 1629502562 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · BUCKHANNON, WV
Registration Details
- NPI Number
- 1629502562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2017 (9.3566128599062 yrs)
- Last Updated
- Sep 7, 2022
- License
-
30171 (WV)
Practice Information
- Address
-
34 N KANAWHA STBUCKHANNON, WV, 262012714Browse WV providers · Browse ZIP 26201
- Phone
- 3044732250
- Fax
- 3044721208
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
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.