JACKSON PORTER MIDTLIEN MD
NPI 1447191358
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Jackson Porter Midtlien Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON PORTER MIDTLIEN MD (NPI 1447191358) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON-SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 Jackson Midtlien's NPI number?
The NPI number for Jackson Midtlien is 1447191358. It was assigned to this individual provider in the NPPES registry on April 3, 2026.
Where is Jackson Midtlien located?
Jackson Midtlien practices at 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (612) 280-2819.
What is Jackson Midtlien's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Jackson Midtlien was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Jackson Porter Midtlien, MD · NPI 1447191358
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 3, 2026.
## Identity
- **NPI:** 1447191358 (Entity type: Individual)
- **Enumerated:** April 3, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER BLVD, Winston Salem, NC 27157-0001
- **Phone:** (612) 280-2819
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447191358) · Data from the CMS NPPES public registry.