Individual provider · Type 1 NPI

Kevin Wade Jackson, MD

Psychiatry Physician · Fort Bliss, TX

NPI number 1770103624 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800XV1796 (TX)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1770103624

Kevin Wade Jackson, MD's National Provider Identifier is 1770103624, issued on Apr 21, 2020. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Fort Bliss, TX. The record was last updated on Apr 12, 2026.