Jackie Long, MD
Psychiatry & Neurology, Psychiatry in King Of Prussia, Pennsylvania
1801470026- Practice location
- 680 American Ave Ste 302, King Of Prussia, PA 19406-4023
- Phone
- 917-634-5311
- Fax
- —
- Last updated
- July 21, 2025
Jackie Long is a Psychiatry & Neurology, Psychiatry based in King Of Prussia, PA. Jackie Long practices in King Of Prussia, PA and has the professional credentials of MD. The NPI Number for Jackie Long is 1801470026 and holds a License No. 076925 (CT). The current practice location address for Jackie Long is 680 American Ave Ste 302, King Of Prussia, PA 19406-4023 and can be reached out via phone at 917-634-5311.
Provider Profile Details
- NPI Number
- 1801470026
- Provider Name
- Jackie Long
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 American Ave Ste 302, King Of Prussia, PA 19406-4023
- Phone Number
- 917-634-5311
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 12, 2021
- Last Update Date
- July 21, 2025
- Certification Date
- July 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 American Ave Ste 302
King Of Prussia, PA 19406-4023 - City
- King Of Prussia
- State
- Pennsylvania
- Zip
- 19406-4023
- Phone Number
- 917-634-5311
Provider Business Mailing Address Details
- Address
- 680 American Ave Ste 302
King Of Prussia, PA 19406-4023 - City
- King Of Prussia
- State
- PA
- Zip
- 19406-4023
License Information
- License Number (1)
- 076925
- License State (1)
- CT
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 076925
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Psychiatry providers near King Of Prussia, PA
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Frequently Asked Questions
What is the NPI number of Jackie Long, MD?
The NPI number of Jackie Long, MD is 1801470026. It was assigned on May 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Jackie Long, MD?
Jackie Long, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 076925.
Where does Jackie Long, MD practice?
The practice location is 680 American Ave Ste 302, King Of Prussia, PA 19406-4023. The office can be reached at 917-634-5311 (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 1801470026 directly on the NPPES registry website.