COURTNEY MARIE JACKSON

FORT WAYNE, IN
NPI1013533926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01088399A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  11021251A)
Enumeration Date2020-06-17
Last Update Date2025-12-11
Business Address
COURTNEY MARIE JACKSON MD
6507 E STATE BLVD
FORT WAYNE, IN 46815-7026
Phone number: 260-486-3300
Mailing Address
COURTNEY MARIE JACKSON MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: