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DR. KEVIN WADE JACKSON MD
NPI 1770103624
Psychiatry & Neurology - Psychiatry in Fort Bliss, TX

Active since April 21, 2020
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906(915) 742-7777 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2026, Jun 27, 2024, Aug 7, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Kevin Wade Jackson Md NPPES

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

DR. KEVIN WADE JACKSON MD (NPI 1770103624) is an individual psychiatry provider in Fort Bliss, Texas, licensed in Texas (V1796) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1770103624
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KEVIN WADE JACKSONCredential: MD
Location Address18511 HIGHLANDER MEDICS STFort Bliss, TX 79906-5327
Mailing Address18511 Highlander Medics StFort Bliss, TX 79906-5327
Phone(915) 742-7777
Sole ProprietorYes
Enumeration DateApril 21, 2020
Last NPPES UpdateApril 12, 20264 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1770103624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · V1796
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
18511 HIGHLANDER MEDICS ST, Fort Bliss, TX 79906
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MS. ROCIO ERIKA SAMANIEGO
Social Worker (Clinical)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2800
DR. GEORGE CORTINAS PHARMD
Pharmacist
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (214) 535-5955
DR. JAMESON EVERETT HOFFMAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906
El Paso County (915) 742-9788
EUNICE SHIM
Student in an Organized Health Care Education/Training Program
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. KATHRYN ANZOLA PT, DPT
Physical Therapist (Orthopedic)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0238
TIMOTHY ERIC HOELL PA-C
Physician Assistant
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-4248
WILLIAM D MCCLELLAND MD
General Practice
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. MICHAEL PATRICK AVILLION MD
Otolaryngology
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2273

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1770103624. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Kevin Jackson located?

Kevin Jackson practices at 18511 Highlander Medics St, Fort Bliss, TX 79906. The listed phone number is (915) 742-7777.

What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kevin Jackson was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.