Individual provider · Type 1 NPI

Stephanie Jacks

Pediatrics Physician · Roseville, CA

NPI number 1003041567 Active

Practice location

2120 Professional Dr
Roseville, CA 95661-3700

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	R4401 (TX)
Dermatology Physician	207N00000X	R4401 (TX)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1003041567

Stephanie Jacks's National Provider Identifier is 1003041567, issued on May 27, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Roseville, CA. The record was last updated on Jul 8, 2026.