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Andre Jackson

NPI 1316865744 · on the registry since 2026 · sole proprietor

Practice

Address
2115 N 27th St
Omaha, NE 68111
Phone
(402) 949-8534

Registry record

Primary taxonomy
324500000X
324500000X
Also registered as
251E00000X
342000000X
3747P1801X
385H00000X
Sex
Male
Record last updated
2026-07-06

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