Individual provider · Type 1 NPI

Renee Jackson

Specialist · Omaha, NE

NPI number 1629997374 Active

Practice location

2930 N 108th St
Omaha, NE 68164-3710

Call (402) 709-1964 Map

Mailing address

2027 N 83rd St
Omaha, NE 68134-6301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629997374

Renee Jackson's National Provider Identifier is 1629997374, issued on Jul 14, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Omaha, NE. The record was last updated on Jul 14, 2026.