NPI
Sandy N Jackson
NPI 1104993187
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2006-11-29
- Last updated
- 2007-07-08
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Specialties
Licenses
- License MO
- 2004023382
- License IL
- 38010239
Location
- Practice location
- 7049 Highway Bb
- City
- Cedar Hill MO
- Postal code
- 63016-2343
- Phone
- (636) 247-5437
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Cedar Hill, MO. 51 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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