Individual
JERRY JAY JACKSON
Active
Individual
JERRY JAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME114239
FL
207RI0200X
Infectious Disease Physician
64653
GA
207RI0200X
Infectious Disease Physician
Primary
ME114239
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ME114239
FL
Other
Enumeration date
11/09/2007
Last updated
07/21/2026
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