Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SYENICKA T JACKSON
Active Sole ProprietorSYENICKA T JACKSON is a Bus healthcare provider located in BURNS HARBOR, Indiana. NPI 1760112544 is currently active in the NPPES registry. Verify at CMS.
Bus · BURNS HARBOR, IN
Registration Details
- NPI Number
- 1760112544
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2022 (4.1600060245416 yrs)
- Last Updated
- Jun 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 VILLAGE SQBURNS HARBOR, IN, 463049665Browse IN providers · Browse ZIP 46304
- Phone
- 2194277906
- Primary Specialty
-
Bus
343900000X
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.