Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM JACKSON, M.D.
ActiveWILLIAM JACKSON, M.D. is a Family Medicine healthcare provider located in PAYETTE, Idaho. NPI 1740530302 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PAYETTE, ID
Registration Details
- NPI Number
- 1740530302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2012 (13.879263638803 yrs)
- Last Updated
- Apr 12, 2019
- Licenses
-
MD187049 (OR)M-14093 (ID)
Practice Information
- Address
-
1441 NE 10TH AVEPAYETTE, ID, 836615420Browse ID providers · Browse ZIP 83661
- Phone
- 2086429376
- Fax
- 2086429279
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PAYETTE, ID
| Name | Credential | NPI |
|---|---|---|
| YVETTE RENE SWEET | DO | 1497759088 |
| DR. BRYON D HEMPHILL | DO | 1598707226 |
| DR. RONALD EUGENE CARROLL | M.D. | 1790821122 |
| JOANN E BUHR COTE | DNP | 1881812691 |
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.