Individual provider · Type 1 NPI

Isaac Mackenzie Jackson

Student in an Organized Health Care Education/Training Program · Mountain View, CA

NPI number 1184438699 Active

Practice location

2500 Grant Rd
Mountain View, CA 94040-4302

Call (650) 940-7000 Map

Mailing address

3324 Brittan Ave Apt 1
San Carlos, CA 94070-3408

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1184438699

Isaac Mackenzie Jackson's National Provider Identifier is 1184438699, issued on Feb 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mountain View, CA. The record was last updated on Jul 20, 2026.