# JABEZ F. JACKSON, JR., M.D., PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457360885
- **Authorized official:** DR. JABEZ F JACKSON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (870) 523-3289

## Contact information

- **Practice address:** 1201 MCLAIN ST, NEWPORT, AR 72112-3533
- **Practice address phone:** (870) 523-3289
- **Practice address fax:** (870) 523-4846
- **Mailing address:** PO BOX 1210, NEWPORT, AR 72112-1210
- **Mailing address phone:** (870) 523-3289
- **Mailing address fax:** (870) 523-4846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C-4208 | AR | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 05/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126751002 | — | AR |