DR JERRY S JACKSON AND ASSOCIATES P A
NPI 1235235136
Clinic/Center - Podiatric in Leavenworth, KS

Q: What is Dr Jerry S Jackson & Associates P A's NPI number?

The NPI number for Dr Jerry S Jackson & Associates P A is 1235235136. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Dr Jerry S Jackson And Associates P A.

Q: What is Dr Jerry S Jackson & Associates P A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Active since September 16, 2006

113 DELAWARE ST, SUITE D, LEAVENWORTH, KS 66048(913) 682-4335(913) 682-2985 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr Jerry S Jackson And Associates P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JERRY S JACKSON AND ASSOCIATES P A (NPI 1235235136) is a healthcare organization registered as a podiatric in Leavenworth, Kansas and active in the NPI registry since September 2006. The organization lists Jerry Stephen Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1235235136

Entity TypeOrganization

Primary Taxonomy261QP1100X

Legal Business NameDR JERRY S JACKSON & ASSOCIATES P A

Location Address113 DELAWARE ST, SUITE DLeavenworth, KS 66048-2822

Mailing Address113 Delaware St, Suite DLeavenworth, KS 66048-2822 · (913) 682-4335 · Fax (913) 682-2985

Phone(913) 682-4335

Fax(913) 682-2985

Organization SubpartNo

Authorized OfficialJerry Stephen JacksonPresident · (913) 682-4335

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJune 26, 2013

✔ NPI 1235235136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities

Taxonomy Code261QP1100X

License✔ Licensed in KS · 145

113 DELAWARE ST, Leavenworth, KS 66048

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Other Names 1

Doing Business AsDr Jerry S Jackson And Associates P A

Other Identifiers 2

Medicare UPINT77063KS

Medicare ID-Type Unspecified006796KS · Corporation

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GASTON I. S. DIALLO, MD, PA

General Acute Care Hospital

113 DELAWARE ST, SUITE E
LEAVENWORTH, KS 66048

Leavenworth County (913) 682-9030

MISS MARGARET DAY MILLER

Speech-Language Pathologist

113 DELAWARE ST, SUITE F
LEAVENWORTH, KS 66048

Leavenworth County (913) 362-7518

JONES CHIROPRACTIC, LLC

Chiropractor

113 DELAWARE ST, SUITE F
LEAVENWORTH, KS 66048

Leavenworth County (913) 651-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jerry S Jackson & Associates P A's NPI number?

The NPI number for Dr Jerry S Jackson & Associates P A is 1235235136. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Dr Jerry S Jackson And Associates P A.

Where is Dr Jerry S Jackson & Associates P A located?

Dr Jerry S Jackson & Associates P A is located at 113 Delaware St Suite D, Leavenworth, KS 66048. The listed phone number is (913) 682-4335.

What is Dr Jerry S Jackson & Associates P A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Dr Jerry S Jackson & Associates P A was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.