Lookup NPI Numbers from the NPI Registry
NPI Profile for DALLAS T JACKSON in REHOBOTH BEACH, DE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1437836665 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/29/2023 | |
| Last updated | 12/21/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DALLAS T JACKSON
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DALLAS T JACKSON