Individual
DR. IAN PATRICK JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 280-3649
Mailing address
9718 SOUTHBY PLZ, OMAHA, NE 68124-3700
(712) 899-4936
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
37003
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
07/24/2025
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