Individual
JAY BROOKS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-8064
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-8064
(319) 356-2987
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107381
MINNESOTA MEDICAL LICENSE
MN
05
—
691041600
—
MD
Enumeration date
06/06/2006
Last updated
01/20/2026
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