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Contact Information

REBECCA R JACKSON, DO
2021 BATTLECREEK DR UNIT A
FORT COLLINS, CO80528-5120
 Phone: 970-568-5810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for REBECCA R JACKSON · (Female)

NPI # 1568621613
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/04/2008
Last updated 06/04/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 47225
Hospital affiliation(s)
  • POUDRE VALLEY HOSPITAL - (Acute Care)
    1024 S LEMAY AVE
    FORT COLLINS, CO 80524
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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