Individual provider · Type 1 NPI
William Ivan Jackson Iii
Student in an Organized Health Care Education/Training Program · Colorado Springs, CO
NPI number
1053917294
Active
Practice location
7105 Horizon Wood Ln
Colorado Springs, CO 80927-4117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1053917294
William Ivan Jackson Iii's National Provider Identifier is 1053917294, issued on Dec 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 10, 2020.