Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN J JACKSON JR., DO
ActiveEDWIN 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 303DANVILLE, IN, 46122Browse 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.