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Dr. Debra Kay Jackson, MD
Family Medicine Physician in Decatur, Illinois
NPI 1942253489

Debra Kay Jackson is a Family Medicine Physician based in Decatur, IL. Debra Kay Jackson practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Debra Kay Jackson is 1942253489 and holds a License No. 036092587 (Illinois).

The current practice location address for Debra Kay Jackson is 4775 E Maryland St, Decatur, IL and can be reached out via phone at 217-864-3737 and via fax at 217-864-3468. You can also correspond with Debra Kay Jackson through the mailing address at 4775 E MARYLAND ST, DECATUR, IL - 62521-8820 (mailing address contact number: 217-864-3737).

Location: 4775 E Maryland St, Decatur, IL, 62521-8820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942253489
Provider Name
Debra Kay Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4775 E Maryland St, Decatur, IL, 62521-8820
Phone Number
217-864-3737
Fax Number
217-864-3468
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036.092587 01 IL MD LICESE
institution
Provider Business Practice Location Address Details
Address
4775 E Maryland St
City
Decatur
State
Illinois
Zip
62521-8820
Phone Number
217-864-3737
Fax Number
217-864-3468
person
Provider Business Mailing Address Details
Address
4775 E Maryland St
City
Decatur
State
Illinois
Zip
62521-8820
Phone Number
217-864-3737
Fax Number
217-864-3468
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036092587 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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