Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN JACKSON, M.D.
ActiveEDWIN JACKSON, M.D. is a Psychiatry healthcare provider located in ST PETERSBURG, Florida. NPI 1740294883 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1740294883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.005932567671 yrs)
- Last Updated
- Oct 10, 2011
- Licenses
-
ME 87406 (FL)ME 87406 (FL)
Practice Information
- Address
-
4010 CENTRAL AVEST PETERSBURG, FL, 337111239Browse FL providers · Browse ZIP 33711
- Phone
- 7273277656
- Fax
- 7273881192
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Neurology
Other Psychiatry Providers in ST PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| TG SRIRAM | MD | 1518937309 |
| DR. BRYAN A BALLOT | M.D. | 1437127362 |
| GISELA GARCIA-LEYVA | MD | 1871550509 |
| DR. TANYA K MURPHY | MD | 1326089350 |
| BRUCE CHARLES WELCH | MD | 1609808740 |
| WALTER G GRIFFITH JR. | M.D. | 1780792374 |
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.