Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WADE JACKSON, MD
Active Sole ProprietorDR. KEVIN WADE JACKSON, MD is a Psychiatry healthcare provider located in FORT BLISS, Texas. NPI 1770103624 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · FORT BLISS, TX
Registration Details
- NPI Number
- 1770103624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2020 (6.325751502159 yrs)
- Last Updated
- Jun 27, 2024
- License
-
V1796 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18511 HIGHLANDER MEDICS STFORT BLISS, TX, 799065327Browse TX providers · Browse ZIP 79906
- Phone
- 9157427777
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in FORT BLISS, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JUAN FRANCISCO TELLEZ | D.O. | 1407236862 |
| DR. KEENAN MICHAEL MCLAUGHLIN | MD | 1659876076 |
| DR. MIN CUI | MD | 1104437714 |
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.