Cecilia Jackson

Licensed Practical Nurse · Boulder, CO

Individual Active NPI

NPI number 1922284173

Practice location

580 Mohawk Dr
Boulder, CO 80303-3712
Phone
(303) 554-5000

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NPI record

NPI
1922284173
Entity type
Individual (Type 1)
Enumeration date
January 17, 2008
Last updated
January 17, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 44627 CO

Mailing address

300 Stonehaven Street Cir
Dacono, CO 80514-5005
Phone
(303) 833-4272

About Cecilia Jackson

Cecilia Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 580 Mohawk Dr, Boulder, CO 80303-3712. The NPI number 1922284173 was assigned on January 17, 2008 and the record was last updated on January 17, 2008.

Cecilia Jackson lists a license in the registry: #44627 (CO) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cecilia Jackson?

The NPI number is 1922284173.

What is the phone number of Cecilia Jackson?

The phone number listed for the practice location is (303) 554-5000.

Where is Cecilia Jackson located?

580 Mohawk Dr, Boulder, CO 80303-3712.

What is the taxonomy code for Cecilia Jackson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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