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Contact Information

STEPHANIE JACKSON, CACI
508 KENNEDY ST NW
WASHINGTON, DC20011-3137
 Phone: 202-223-9630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for STEPHANIE JACKSON · (Female)

NPI # 1689452849
Status Active
Credentials CACI
Entity Individual
Enumeration date 09/19/2023
Last updated 09/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DC License # CACI1124
Hospital affiliation(s) Not Available
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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