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Search › Louisiana › 1223E0200X

Zachary Jackson

NPI 1548874274 · on the registry since 2020

Practice

Address
7223 Mississippi Ave
Fort Polk, LA 71459
Phone
(726) 780-1451
Clinicians at this address
24

Additional practice sites

  • 2817 Rock Merrit Ave Stop A Womack Army Medical Center, Fort Bragg, NC
  • 4076 Neely Rd, Fort Wainwright, AK

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
122300000X
1223E0200X
1223G0001X
Licence states on file
OR, AK, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana