IndividualActive
Edwin Jackson, DO
NPI 1972827335 · Critical Care Medicine (Internal Medicine) Physician · Danville, IN
Provider details
- NPI number
- 1972827335
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02005444A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
112 Hospital Ln Ste 303
Danville, IN 46122
Phone: (317) 718-4000
Fax: (317) 718-4005
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Additional practice locations (2)
- 720 Eskenazi AveIndianapolis, IN 46202-5187Phone: (317) 808-2224Fax: (317) 880-0000
- 1701 N Senate BlvdIndianapolis, IN 46202-1239Phone: (888) 484-3258
Registry dates
- Enumerated
- 2010-03-15
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.