Individual provider · Type 1 NPI

Courtney Marie Jackson, MD

Family Medicine Physician · Fort Wayne, IN

NPI number 1013533926 Active

Practice location

6507 E State Blvd
Fort Wayne, IN 46815-7026

Call (260) 486-3300 Map

Fax (260) 485-3600

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01088399A (IN)

Family Medicine Physician: 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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About NPI 1013533926

Courtney Marie Jackson, MD's National Provider Identifier is 1013533926, issued on Jun 17, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 2, 2026.