Jackson Center, PA

Jackson Center, PA is a healthcare organization registered as Dermatology Physician in Naples, FL, holding Type 2 (organization) NPI 1417013707 since 2006. The authorized official on file is Jon Jackson, President.

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NPI	1417013707
Entity type	Organization (Type 2)
Legal business name	Jackson Center, PA
Practice address	4500 EXECUTIVE DR STE 300, Naples, FL, 34119
Phone	2395989009
Fax	2395985009
Enumeration date	2006-12-29
Last updated in NPPES	2023-02-17

Authorized official

Name	Jon Jackson
Title	President
Phone	2395989009

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208200000X	Plastic Surgery Physician	Secondary	—	—
207N00000X	Dermatology Physician	Primary	—	—

Copy-ready billing details

Provider: Jackson Center, PA
NPI: 1417013707
Taxonomy: 207N00000X (Dermatology Physician)
Address: 4500 EXECUTIVE DR STE 300, Naples, FL, 34119

Providers at this address

NPI	Name	Type	Specialty	Location
1407820764	Sharon Jackson	Individual	Dermatology Physician	Naples, FL
1740254978	Jon Jackson	Individual	Plastic Surgery Physician	Naples, FL

Verify this record

Cross-check NPI 1417013707 against the authoritative CMS record: view Jackson Center, PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-02-17. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Center, PA located?

The practice location on file with NPPES is in Naples, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-02-17.