Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr DERRICK O JACKSON in YOUNGSTOWN, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Radiology |
213ER0200X | 48 | Podiatry |
| NPI # | 1518080811 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 04/09/2007 | |
| Last updated | 04/05/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DERRICK O JACKSON
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| KIMBERLY A OSBORNE 10130 EBENEZER RD LOT 2 ABERDEEN, OH |
DERRICK O JACKSON, DPM