Individual provider · Type 1 NPI

Mary Tallmadge Jackson, MD

Obstetrics & Gynecology Physician · Arroyo Grande, CA

NPI number 1043296882 Active

Practice location

120 Corbett Canyon Rd
Arroyo Grande, CA 93420-5151

Fax (805) 474-8555

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XG56252 (CA)
Obstetrics & Gynecology Physician 207V00000X6198 (HI)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1043296882

Mary Tallmadge Jackson, MD's National Provider Identifier is 1043296882, issued on Dec 22, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Arroyo Grande, CA. The record was last updated on Jul 13, 2026.