Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LESLIE K JACKSON, MD
Active Sole ProprietorDR. LESLIE K JACKSON, MD is a Family Medicine healthcare provider located in TAYLORVILLE, Illinois. NPI 1649320904 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TAYLORVILLE, IL
Registration Details
- NPI Number
- 1649320904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2007 (19.408951184436 yrs)
- Last Updated
- Apr 13, 2010
- License
-
036072876 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 E MAIN CROSS STTAYLORVILLE, IL, 625682656Browse IL providers · Browse ZIP 62568
- Phone
- 2178243758
- Fax
- 2178243758
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TAYLORVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| ROSALINA R. GONZALES | M.D. | 1881770816 |
| SCOTT M BILYEU | M.D. | 1053516971 |
| ALICIA ALTHEIMER | MD | 1760863716 |
| KELSEY MARIE LEVAULT | MD | 1447744438 |
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.