Dr. Jon Richard Jackson
Internist Pulmonary Disease Critical Care Medicine
5000 Hennessy Blvd
Baton Rouge
, Louisiana 70808-4375
Dr. Jon Richard Jackson
Internist Pulmonary Disease Critical Care Medicine
5000 Hennessy Blvd
Baton Rouge
, Louisiana 70808-4375
(225) 765-4046
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Jon Richard Jackson
- 5000 Hennessy Blvd
- Baton Rouge, LA
- Zip : 70808-4375
- Fax : (225) 765-4046
- Phone : (225) 765-4050
Second Address
- Dr. Jon Richard Jackson
- 5000 Hennessy Blvd
- Baton Rouge, LA
- Zip : 70808-4375
- Fax : (225) 765-4046
- Phone : (225) 765-4050
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FAQs
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Is Dr. Jon Richard Jackson a sole practitioner?
Is Dr. Jon Richard Jackson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 12488R | LA |
| Y | 111NI0900X | Internist | 12488R | LA |
| N | 207RC0200X | Critical Care Medicine | 12488R | LA |
| N | 207RP1001X | Pulmonary Disease | 12488R | LA |
National Provider Identifier
| NPI | 1013909118 |
|---|---|
| Provider Name | Dr. Jon Richard Jackson |
| First Address | Baton Rouge, LA 70808-4375 |
| Second Address | Baton Rouge, LA 70808-4375 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 26/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01738210 | (05) | MS |
| 1535931 | (05) | LA |
| F31616 | (02) | LA |
| P00020219 | RAIL ROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.