| Melinda Jackson Md Phd | |
|
4144 Wyntree Dr Newburgh IN 47630-2521 | |
| (812) 858-1957 | |
| (812) 858-1917 |
| Full Name | Melinda Jackson Md Phd |
|---|---|
| Speciality | Family Medicine |
| Location | 4144 Wyntree Dr, Newburgh, Indiana |
| Authorized Official Name and Position | Melinda Brown Jackson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8128581957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Jackson Md Phd 4144 Wyntree Dr Newburgh IN 47630-2521 Ph: (812) 858-1957 | Melinda Jackson Md Phd 4144 Wyntree Dr Newburgh IN 47630-2521 Ph: (812) 858-1957 |
| NPI Number | 1700064797 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01037696A (Indiana) | Primary |
| 363L00000X | Nurse Practitioner | 71002200A (Indiana) | Secondary |
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