Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey J Ickler, MD

Individual provider Surgery Physician · NPI 1477656528

Jeffrey J Ickler, MD is a Surgery Physician in Diberville, Mississippi. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10241 Boney Ave Ste A
Diberville, MS 39540-4889
Phone: (228) 967-7651
Fax: (228) 967-7653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Spring Hill Ave, Mobile, AL 36604-1407 — (251) 438-4440

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 00022258 (AL)

Record details

NPI number1477656528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025