Individual
CASSANDRA RAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 W 69TH ST STE 500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
Mailing address
4400 W 69TH ST STE 500, SIOUX FALLS, SD 57108-8171
(605) 988-4781
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0615
SD
2084P0800X
Psychiatry Physician
72875
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Enumeration date
03/27/2021
Last updated
05/05/2026
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