Dr. Stephanie Colleen Jackson
Neurologist
1950 Hope Valley Dr
Reno
, Nevada 89521-3140
Dr. Stephanie Colleen Jackson
Neurologist
1950 Hope Valley Dr
Reno
, Nevada 89521-3140
(775) 403-2175
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Stephanie Colleen Jackson
- 1950 Hope Valley Dr
- Reno, NV
- Zip : 89521-3140
- Fax : (775) 403-2175
- Phone : (901) 428-2046
Second Address
- Dr. Stephanie Colleen Jackson
- 1950 Hope Valley Dr
- Reno, NV
- Zip : 89521-3140
- Fax : (775) 403-2175
- Phone : (901) 428-2046
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 14922 | NV |
National Provider Identifier
| NPI | 1013177872 |
|---|---|
| Provider Name | Dr. Stephanie Colleen Jackson |
| First Address | Reno, NV 89521-3140 |
| Second Address | Reno, NV 89521-3140 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2008 |
| Last Update Date | 19/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14922 | MEDICAL LICENSE (01) | NV |
| FS4122191 | DEA (01) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.