NPI 1336381631

Garrett J Jackson, MD

Practitioner Neurological Surgery Physician Fort Wayne, IN

Practice location

Address: 11104 Parkview Circle Dr STE 110, Fort Wayne, IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6615
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01074880A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1336381631
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2009
Record last updated: 11 Dec 2025

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.