Darrell Jackson

NPI #1144850249 in Kuna, Idaho

Provider Information

NPI Number
1144850249
Entity Type
Individual
Name
Darrell Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 17, 2020
Last Updated
Jan 17, 2020

Practice Location

Address
357 W TROY ST
City
Kuna
State
Idaho
ZIP Code
83634-5002
Phone
(309) 648-5154

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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