IndividualActive
James Jackson, MD
NPI 1205830007 · Dermatology Physician · Louisville, KY
Provider details
- NPI number
- 1205830007
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01085873A (IN)
Practice location
501 S 2nd St
Louisville, KY 40202-1864
Phone: (502) 583-7546
Fax: (502) 589-3429
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.