DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANNY WADE JACKSON, D.O.

Active

DR. DANNY WADE JACKSON, D.O. is a Family Medicine healthcare provider located in ROLLING FORK, Mississippi. NPI 1821013095 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROLLING FORK, MS

Registration Details

NPI Number
1821013095
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.046824446761 yrs)
Last Updated
Jan 21, 2010
License
09390 (MS)

Practice Information

Address
29 S FOURTH ST
ROLLING FORK, MS, 391595146
Browse MS providers · Browse ZIP 39159
Phone
6628734361
Fax
6628732921
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROLLING FORK, MS

Name Credential NPI
MRS. SUSAN CASELLI CFNP 1962406959
DR. MICHAEL LEO BAKER D.O. 1043236722
ANDREW GEORGE MD 1538178777
DR. BENJAMIN OZBUN MD 1649834508
MRS. ANGELIA MICHELE EASON NURSE PRACTITIONER 1114690039
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.