J. Phillip Jackson is a Family Medicine Physician based in Fort Wayne, IN. J. Phillip Jackson practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for J. Phillip Jackson is 1881675080 and holds a License No. 01037752A (Indiana).
The current practice location address for J. Phillip Jackson is 7980 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-9454 and via fax at 260-436-7836.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000892 | 01 | MPLAN | |
| 1431 | 01 | PHYSICIANS HEALTH PLAN | |
| 080121955 | 01 | IN | RAILROAD MEDICARE |
| 000000091890 | 01 | BLUE CROSS BLUE SHIELD | |
| 100462820 | 05 | IN |
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