Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
J CARVEL JACKSON, D.O.
ActiveJ CARVEL JACKSON, D.O. is a Addiction Medicine (Internal Medicine) healthcare provider located in MESA, Arizona. NPI 1942262399 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · MESA, AZ
Registration Details
- NPI Number
- 1942262399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2006 (20.401650477534 yrs)
- Last Updated
- Feb 2, 2023
- Licenses
-
2543 (AZ)2543 (AZ)
Practice Information
- Address
-
303 N CENTENNIAL WAYMESA, AZ, 852016733Browse AZ providers · Browse ZIP 85201
- Phone
- 4806493111
- Fax
- 4806493113
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Physical Medicine & Rehabilitation
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.