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DR. KENDALL JACKSON MD
NPI 1811780687
Pediatrics in Philadelphia, PA

Active since May 26, 2025
3401 CIVIC CENTER BLVD, DIVISION OF GENERAL PEDIATRICS, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kendall Jackson Md NPPES

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

DR. KENDALL JACKSON MD (NPI 1811780687) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT233405) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1811780687
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KENDALL JACKSONCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF GENERAL PEDIATRICSPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of General PediatricsPhiladelphia, PA 19104
Phone(215) 590-1220
Sole ProprietorNo
Enumeration DateMay 26, 2025
NPPES CertifiedMay 25, 2025
✔ NPI 1811780687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT233405
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kendall Jackson's NPI number?

The NPI number for Kendall Jackson is 1811780687. It was assigned to this individual provider in the NPPES registry on May 26, 2025.

Where is Kendall Jackson located?

Kendall Jackson practices at 3401 Civic Center Blvd Division Of General Pediatrics, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Kendall Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kendall Jackson was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.