DR. JABEZ FENTON JACKSON JR. (NPI# 1801866900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801866900 |
| Entity Type | Individual |
| Full Name | DR. JABEZ FENTON JACKSON JR. |
| Credential | M.D. |
| Practice Address |
1201 Mclain St Newport AR 72112-3533 |
| Mailing Address |
Po Box 1210 Newport AR 72112-1210 |
| Practice Telephone | 8705233289 |
| Practice Fax Number | 8705234846 |
| Mailing Telephone | 8705235713 |
| Mailing Fax Number | 8705234846 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C4208 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102814001 | 05 |
| Street Address |
1201 MCLAIN ST |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902328552 | Hannah Hare White | Nurse Practitioner | 1201 Mclain St, Newport, AR 72112-3533 | 2017-07-14 |
| 1457360885 | Jabez F. Jackson, Jr., M.d., Pa | Obstetrics & Gynecology | 1201 Mclain St, Newport, AR 72112-3533 | 2006-08-05 |
| 1952371056 | Karen Dee Jones | Obstetrics & Gynecology | 1201 Mclain St, Newport, AR 72112-3533 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1336283563 | Ian Ross Donald | Obstetrics & Gynecology | 775 Sw 9th St Ste H, Newport, OR 97365-4876 | 2007-02-19 |
| 1487749768 | Martha Higginbotham Aldridge | Obstetrics & Gynecology | 19 Friendship Street, Suite 200, Newport, RI 02840 | 2006-10-04 |
| 1649364498 | Jennifer Lynn Brenton | Obstetrics & Gynecology | 19 Friendship St Unit 220, Newport, RI 02840-2264 | 2006-10-03 |
| 1235171182 | Daniel Duane Kort | Obstetrics & Gynecology | 130 Nw 19th St., Suite A, Newport, OR 97364 | 2006-06-12 |
| 1982644282 | John Robert Wichert | Obstetrics & Gynecology | 775 Sw Ninth Street, Suite H, Newport, OR 97365-4876 | 2006-06-07 |
| 1174525091 | Carrie Lynn Johnson | Obstetrics & Gynecology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2005-08-11 |
| 1740280072 | Jonathan Kale Gavin Shumate | Obstetrics & Gynecology | 1010 Sw Coast Hwy Ste 102, Newport, OR 97365-5239 | 2005-07-28 |
| 1104463322 | Cocke County Hma LLC | Obstetrics & Gynecology | 434 4th St Ste 305, Newport, TN 37821-3735 | 2019-12-06 |
| 1699068452 | Abby Elizabeth Loftus-smith | Obstetrics & Gynecology | 1400 Grand Ave, Newport, KY 41071-2570 | 2011-05-26 |
| Find all providers in NEWPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.