NPI 1255494720

Jeffrey L Jackson, MD

Practitioner Anesthesiology Physician Bloomington, IN

Practice location

Address: 601 W 2nd St, Bloomington, IN 47403-2317
Phone: (812) 334-8958
Mailing address: 908 N Walnut St, Bloomington, IN 47404-3525

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01042822 (IN)

Other Anesthesiology providers in Indiana →

Registry record

NPI: 1255494720
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2006
Record last updated: 8 Jul 2007

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.