Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRELL LEE JACKSON
Active Sole ProprietorLARRELL LEE JACKSON is a Chore Provider healthcare provider located in OMAHA, Nebraska. NPI 1033929492 is currently active in the NPPES registry. Verify at CMS.
Chore Provider · OMAHA, NE
Registration Details
- NPI Number
- 1033929492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2025 (1.5877356875165 yrs)
- Last Updated
- Jan 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4803 N 80TH AVEOMAHA, NE, 681343228Browse NE providers · Browse ZIP 68134
- Phone
- 4024037673
- Primary Specialty
-
Chore Provider
372500000X
Other Chore Provider Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| MRS. SUZANNE DIVETT | CHORE PROVIDER | 1629267927 |
| KATHRYN ROBERTS | OWNER | 1043988868 |
| MARIA D RIVERA | — | 1679210496 |
| TYLENA TUCKER | — | 1801660931 |
| ASHLEE M HAYNES | — | 1730900267 |
| JENA PATTERSON | — | 1972329480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.