Individual provider · Type 1 NPI

Ricardo Antonio Jackson Jr.

Independent Duty Medical Technicians · Hampton, VA

NPI number 1083540231 Active

Practice location

79 Nealy Ave
Hampton, VA 23665-2040

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone listed

Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …

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About NPI 1083540231

Ricardo Antonio Jackson Jr.'s National Provider Identifier is 1083540231, issued on Jun 23, 2026. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Hampton, VA. The record was last updated on Jun 23, 2026.