Mark Jackson, M.D.

Individual Active
NPI 1255470209
Addiction Medicine (Anesthesiology) Physician Saint Augustine, FL

Mark Jackson, M.D. holds NPI 1255470209, with a primary taxonomy of addiction medicine (anesthesiology) physician and a practice location in Saint Augustine, FL. The number was issued on February 6, 2007 and the NPPES record was last updated on September 29, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Anesthesiology) Physician Primary 207LA0401X ME142795 (FL)
Anesthesiology Physician 207L00000X 40009 (KY)
Pain Medicine (Anesthesiology) Physician 207LP2900X ME142795 (FL)

Practice location

3930 Us 1 S
Saint Augustine, FL 32086-7089
Phone: (352) 283-3568

Local context

Active NPPES records list 1 provider with addiction medicine (anesthesiology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 20 in Florida and 171 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mark F Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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