Individual
ALAN M JACKSON
Active
Individual
ALAN M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50900
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400963
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
043058466
HEALTHCARE VALUE MGMT
—
01
—
110048763
RAILROAD MEDICARE
—
01
—
29186
HEALTHY START
—
01
—
4034907
AETNA US HEALTHCARE
—
05
—
6174345
—
MA
01
—
784239
MVP HEALTH CARE
—
01
—
8465722
CIGNA HEALTH PLAN
—
01
—
8758
FALLON COMMUNITY HEALTH P
—
01
—
934961
FIRST HEALTH
—
01
—
AA1209
HARVARD PILGRIM HEALTHCAR
—
01
—
J02952
BLUE CARE ELECT
—
Enumeration date
04/12/2006
Last updated
09/03/2025
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