MR. WILLIAM IVAN JACKSON NPI 1053917294

NPI Information

NPI: 1053917294
Provider Name: MR. WILLIAM IVAN JACKSON
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
7105 HORIZON WOOD LN
COLORADO SPRINGS, CO
ZIP 80927
Phone: (719) 367-0753
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MR. William Ivan Jackson is a student in an organized health care education training program in Colorado Springs, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. William Ivan Jackson NPI is 1053917294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7105 HORIZON WOOD LN
COLORADO SPRINGS, CO
ZIP 80927-117
Phone: (719) 367-0753

The enumeration date for this NPI number is 12/10/2020 and was last updated on 12/10/2020.

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	390200000X	Student in an Organized Health Care Education/Training Program				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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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