| Dr Joe A Jackson, Md Pllc | |
|
224 E Garden St Suite 5b Box J16 Pensacola FL 32502-6068 | |
| (850) 469-1330 | |
| (850) 469-1554 |
| Full Name | Dr Joe A Jackson, Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 224 E Garden St, Pensacola, Florida |
| Authorized Official Name and Position | Joe A Jackson (OWNER) |
| Authorized Official Contact | 8504691330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joe A Jackson, Md Pllc 224 E Garden St Suite 5b Box J16 Pensacola FL 32502-6068 Ph: (850) 469-1330 | Dr Joe A Jackson, Md Pllc 224 E Garden St Suite 5b Box J16 Pensacola FL 32502-6068 Ph: (850) 469-1330 |
| NPI Number | 1114398427 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114398427 | NPI | - | NPPES |
| 00013024 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 85613 (Florida) | Primary |
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