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Individual
JAY BROOKS JACKSON
Active
Individual
JAY BROOKS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD-45147
IA
207ZC0006X
Clinical Pathology Physician
Primary
MD-45147
IA
207ZP0101X
Anatomic Pathology Physician
27655
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D50196
MD
Other
Enumeration date
06/06/2006
Last updated
01/20/2026
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