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Contact Information

LYNN JACKSON
3481 RUGGLES ST
OMAHA, NE68111-2731
 Phone: 531-210-1478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for LYNN JACKSON · (Female)

NPI Number 1265376743
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2026
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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