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

EDWIN J JACKSON JR., DO

Active

EDWIN J JACKSON JR., DO is a Critical Care Medicine healthcare provider located in DANVILLE, Indiana. NPI 1972827335 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · DANVILLE, IN

Registration Details

NPI Number
1972827335
Provider Type
Individual
Gender
Male
NPI Issued
Mar 15, 2010 (16.431620237944 yrs)
Last Updated
Mar 11, 2025
Licenses
02005444A (IN)
34. 010939 (OH)
34.010939 (OH)
02005444A (IN)
02005444A (IN)

Practice Information

Address
112 HOSPITAL LN STE 303
DANVILLE, IN, 46122
Browse IN providers · Browse ZIP 46122
Phone
3177184000
Fax
3177184005
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Internal Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Pulmonary Disease
Additional Specialty
Critical Care Medicine
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.