| Doctor Name: | JOSEPH A JACKSON |
| NPI Number: | 1073633624 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 08636 |
| Business Practice Address: | 1990 Popps Ferry Rd Biloxi, MS - 395322015 |
| Business Phone Number: | 2285942000 |
| Business Fax Number: | 2285946688 |
| Mailing Address: | 1990 Popps Ferry Rd, BILOXI |
| State: | MS |
| Postal Code: | 395322015 |
| Phone Number: | 2285942000 |
| Fax Number: | 2285946688 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P2900X |
| License Number: | 08636 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |