Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARRELL JACKSON
Active Sole ProprietorDARRELL JACKSON is a Community/Behavioral Health healthcare provider located in KUNA, Idaho. NPI 1144850249 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · KUNA, ID
Registration Details
- NPI Number
- 1144850249
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2020 (6.6113843950418 yrs)
- Last Updated
- Jan 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
357 W TROY STKUNA, ID, 836345002Browse ID providers · Browse ZIP 83634
- Phone
- 3096485154
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.