DR. LESLIE K JACKSON MD
NPI 1649320904
Family Medicine in Taylorville, IL

Q: What is Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1649320904. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Leslie Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Jackson was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 11, 2007

404 E MAIN CROSS ST, TAYLORVILLE, IL 62568(217) 824-3758(217) 824-3758 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Leslie K Jackson Md NPPES

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

DR. LESLIE K JACKSON MD (NPI 1649320904) is an individual family medicine provider in Taylorville, Illinois, licensed in Illinois (036072876) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649320904

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LESLIE K JACKSONCredential: MD

Location Address404 E MAIN CROSS STTaylorville, IL 62568-2656

Mailing Address404 E Main Cross St, P O Box 318Taylorville, IL 62568-2656 · (217) 824-3758 · Fax (217) 824-3758

Phone(217) 824-3758

Fax(217) 824-3758

Sole ProprietorYes

Enumeration DateJanuary 11, 2007

Last NPPES UpdateApril 13, 2010

✔ NPI 1649320904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036072876

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

404 E MAIN CROSS ST, Taylorville, IL 62568

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Other Identifiers 5

Medicaid371403688001IL

Medicare ID-Type Unspecified14-8934IL

Medicare UPIND16091IL

Medicare ID-Type Unspecified608210IL

Medicaid036072876IL

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 Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1649320904. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Leslie Jackson located?

Leslie Jackson practices at 404 E Main Cross St, Taylorville, IL 62568. The listed phone number is (217) 824-3758.

What is Leslie Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Leslie Jackson was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.