Individual provider · Type 1 NPI
Jeffrey Luke Jackson, DPM
Foot & Ankle Surgery Podiatrist · Fleming Island, FL
NPI number
1548412992
Active
Practice location
1677 Eagle Harbor Pkwy, Suite C
Fleming Island, FL 32003-4802
Fax (904) 278-5874
Mailing address
1677 Eagle Harbor Pkwy C
Fleming Island, FL 32003-4802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3675 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Fleming Island
About NPI 1548412992
Jeffrey Luke Jackson, DPM's National Provider Identifier is 1548412992, issued on Oct 16, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fleming Island, FL. The record was last updated on Oct 5, 2015.