Individual provider · Type 1 NPI

James Jackson

Developmental Disabilities Clinic/Center · Ralston, NE

NPI number 1093513699 Active

Practice location

5720 S 77th St
Ralston, NE 68127-4202

Call (531) 200-0563 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1093513699

James Jackson's National Provider Identifier is 1093513699, issued on Mar 7, 2025. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Ralston, NE. The record was last updated on Mar 7, 2025.