Active NPIIndividual providerSole proprietor

Dr. Wynn K Jackson, MD

Psychiatry & Neurology, Psychiatry in Greenwich, Connecticut

NPI Number1194989772
Practice location
2 Benedict Pl, Greenwich, CT 06830-5358
Fax
—
Last updated
July 14, 2008

Wynn K Jackson is a Psychiatry & Neurology, Psychiatry based in Greenwich, CT. Wynn K Jackson practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Wynn K Jackson is 1194989772 and holds a License No. 029759 (CT). The current practice location address for Wynn K Jackson is 2 Benedict Pl, Greenwich, CT 06830-5358 and can be reached out via phone at 203-661-7575.

Provider Profile Details

NPI Number
1194989772
Provider Name
Wynn K Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2 Benedict Pl, Greenwich, CT 06830-5358
Phone Number
203-661-7575
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2008
Last Update Date
July 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Benedict Pl
Greenwich, CT 06830-5358
Zip
06830-5358
Phone Number
203-661-7575
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
2 Benedict Pl
Greenwich, CT 06830-5358
City
Greenwich
State
CT
Zip
06830-5358
Phone Number
203-661-7575

License Information

License Number
029759
License State
CT
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychiatry & Neurology, Psychiatry providers near Greenwich, CT

View all Psychiatry & Neurology, Psychiatry providers in Greenwich →

Frequently Asked Questions

What is the NPI number of Dr. Wynn K Jackson, MD?

The NPI number of Dr. Wynn K Jackson, MD is 1194989772. It was assigned on July 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Wynn K Jackson, MD?

Dr. Wynn K Jackson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 029759.

Where does Dr. Wynn K Jackson, MD practice?

The practice location is 2 Benedict Pl, Greenwich, CT 06830-5358. The office can be reached at 203-661-7575 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194989772 directly on the NPPES registry website.

Browse related providers