Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN TYLER JACKSON, MD
ActiveJORDAN TYLER JACKSON, MD is a Family Medicine healthcare provider located in CARTHAGE, Mississippi. NPI 1700469012 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CARTHAGE, MS
Registration Details
- NPI Number
- 1700469012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2021 (5.2775929079069 yrs)
- Last Updated
- Jul 25, 2024
- License
-
33753 (MS)
Practice Information
- Address
-
1100 HIGHWAY 16 ECARTHAGE, MS, 390514222Browse MS providers · Browse ZIP 39051
- Phone
- 6012671470
- Fax
- 6012671469
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CARTHAGE, MS
| Name | Credential | NPI |
|---|---|---|
| DAVID LAWRENCE MOODY | MD | 1346359197 |
| DR. JONATHAN MALONE BUCHANAN | M.D. | 1073925244 |
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.