Individual provider · Type 1 NPI

Holly Kristin Jackman

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

NPI number 1619784824 Active

Practice location

5445 Laurel Hills Dr
Sacramento, CA 95841-3105

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone 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 1619784824

Holly Kristin Jackman's National Provider Identifier is 1619784824, issued on Dec 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 23, 2025.