Organization

Melinda Jackson Md Phd

Family Medicine Physician in Newburgh, IN(View on Map)

Legal Business Name

Melinda Jackson Md Phd

NPI Number

1700064797

NPI Type

Organization

Enumeration Date

02/01/2008

Specialties

(Taxonomies)

Code

207Q00000X
363L00000X

Primary Taxonomy

Yes
No

Licenses

State

Indiana
Indiana

License Number

01037696A
71002200A

Contact
Information

Purpose

Mailing
Location

Address

4144 WYNTREE DR
4144 WYNTREE DR

City

Newburgh
Newburgh

State

IN
IN

Postal Code

47630-2521
47630-2521

Country

US
US

Telephone Number

(812) 858-1957
(812) 858-1957

Authorized Official

Name

Dr. Melinda Jackson

Title or Position

OWNER/PHYSICIAN

Telephone Number

(812) 858-1957

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/01/2008

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