Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE LONG, M.D.
ActiveDR. JACKIE LONG, M.D. is a Psychiatry healthcare provider located in MINOT, North Dakota. NPI 1790039071 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · MINOT, ND
Registration Details
- NPI Number
- 1790039071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2012 (13.798903779057 yrs)
- Last Updated
- Apr 30, 2025
- Licenses
-
16459 (ND)ME126295 (FL)
Practice Information
- Address
-
407 3RD ST SEMINOT, ND, 587014470Browse ND providers · Browse ZIP 58701
- Phone
- 7018572360
- Fax
- 7018572187
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in MINOT, ND
| Name | Credential | NPI |
|---|---|---|
| DR. WAYNE L MARTINSEN | M.D. | 1851352504 |
| MICHAEL G RAYEL | M.D. | 1073571022 |
| TODOR TODE DRAGICEVIC | M.D. | 1225045800 |
| DEIDRE LYNN RICHARDS | MD | 1326119884 |
| DR. ELIZABETH E. OHIKU | M.D | 1689735292 |
| DR. RONNY PAUL MEUNIER | MD | 1518152289 |
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.