VELVET JACKSON NPI 1619414422

NPI Information

NPI: 1619414422
Provider Name: VELVET JACKSON
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
450 S CAMINO DEL RIO STE 102
DURANGO, CO
ZIP 81301
Phone: (970) 828-3030
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Velvet Jackson is an addiction (substance use disorder) registered nurse in Durango, CO. Velvet Jackson NPI is 1619414422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

450 S CAMINO DEL RIO STE 102
DURANGO, CO
ZIP 81301-856
Phone: (970) 828-3030
Fax: (970) 247-0221

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1623855	COLORADO	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	1623855	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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