NPI 1013533926

Courtney Marie Jackson, MD

Practitioner Family Medicine Physician Fort Wayne, IN

Practice location

Address: 6507 E State Blvd, Fort Wayne, IN 46815-7026
Phone: (260) 486-3300
Fax: (260) 485-3600
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01088399A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1013533926
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2020
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.