Search › Colorado › 363A00000X
Stacie Jackson, PA-C
NPI 1538683909 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1630 Dry Creek Dr Ste 200
Longmont, CO 80503 - Phone
- (720) 279-9098
- Fax
- (720) 540-4250
- Organisation at this address
- Elan Sleep Llc
Rebis Health, Llc
Vsi Providers Pllc
Rebis Therapeutics Llc
Heart Centered Counseling, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 68 School Road, Frisco, CO
- 13654 Xavier Ln Ste 2010b, Broomfield, CO
- 9399 Crown Crest Blvd Ste 350, Parker, CO
- 1974 Blue Mesa Ct, Loveland, CO
- 4895 Riverbend Rd Ste A, Boulder, CO
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-03
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 Colorado