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Stephanie Jacks
NPI 1003041567 · on the registry since 2009
Practice
- Address
- 2120 Professional Dr
Roseville, CA 95661 - Phone
- (916) 771-7700
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Dermatology Physician
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California