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Virgil Jackson
NPI 1205763893 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2507 N 187th Ave
Elkhorn, NE 68022 - Phone
- (918) 304-9225
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-06
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 Nebraska