What is William Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1841243920, enumerated as a individual on May 18, 2006.

Where is the provider located?

The provider is located at 1350 S HICKORY ST MELBOURNE, FL 32901 and the phone number is (321) 434-4225.

What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

WILLIAM LEMAR JACKSON JR. MD - NPI 1841243920 - Internal Medicine in Melbourne, FL

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About William Lemar Jackson Jr. Md NPPES

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

WILLIAM LEMAR JACKSON JR. MD (NPI 1841243920) is an individual critical care medicine provider in Melbourne, Florida, licensed in Florida (ME95860) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1841243920

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameWILLIAM LEMAR JACKSON JR.Credential: MD

Location Address1350 S HICKORY STMelbourne, FL 32901-3278

Mailing AddressPo Box 561600Rockledge, FL 32956-1600 · (321) 434-4656 · Fax (321) 259-5130

Phone(321) 434-4225

Fax(321) 434-4247

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1841243920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · ME95860

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1350 S HICKORY ST, Melbourne, FL 32901

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