Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALFRED VAUGHN D JACKSON, MD
Active Sole ProprietorDR. ALFRED VAUGHN D JACKSON, MD is a Family Medicine healthcare provider located in LA JARA, Colorado. NPI 1891746707 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA JARA, CO
Registration Details
- NPI Number
- 1891746707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.249847042559 yrs)
- Last Updated
- Nov 13, 2013
- Licenses
-
1823241205 (UT)89132 (NM)31351 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
416 MAIN STREETLA JARA, CO, 811400272Browse CO providers · Browse ZIP 81140
- Phone
- 7192744500
- Fax
- 7192744504
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LA JARA, CO
| Name | Credential | NPI |
|---|---|---|
| MARCO A CELADA SR. | MD | 1982663316 |
| DANIEL TAILLEUR | MD | 1215020797 |
| COLIN JAMES HENDERSON | MD | 1982720348 |
| DR. THOMAS EDGAR MCWILLIAMS | D.O. | 1164974598 |
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.