Individual
MS. JACKIE MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 N 36TH ST, OMAHA, NE 68111-1105
(402) 320-4532
Mailing address
6109 N 36TH ST, OMAHA, NE 68111-1105
(402) 320-4532
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
06/03/2025
Last updated
06/26/2025
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