LACEY J. JACKSON – NPI #1013542497
Specialist/Technologist, Other

LACEY JACKSON is a technologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1013542497 to LACEY JACKSON on March 06, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LACEY JACKSON below.

NPI Profile for
LACEY J. JACKSON

NPI Number
1013542497
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LACEY J. JACKSON
Primary location
1141 N LOOP 1604 E # 105-610
SAN ANTONIO, TX 78232-1339
Phone: (210) 598-2800 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.