NPI 1114922911

John Ronald Jackson, MD

Practitioner Obstetrics & Gynecology Physician Edgewood, KY

Practice location

Address: 20 Medical Village Dr STE 302, Edgewood, KY 41017-5402
Phone: (859) 341-2510
Fax: (859) 578-5888
Mailing address: PO Box 635283, Cincinnati, OH 45263-5283

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 34447 (KY)

Other Obstetrics & Gynecology providers in Kentucky →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 35. 073600 (OH)

Registry record

NPI: 1114922911
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 27 Apr 2023

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.