MR. WILLIAM IVAN JACKSON III
NPI 1053917294
Student in an Organized Health Care Education/Training Program in Colorado Springs, CO

Q: What is William Jackson's NPI number?

The NPI number for William Jackson is 1053917294. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Q: What is William Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for William Jackson was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2020

7105 HORIZON WOOD LN, COLORADO SPRINGS, CO 80927(719) 367-0753 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. William Ivan Jackson Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM IVAN JACKSON III (NPI 1053917294) is an individual student in an organized health care education/training program in Colorado Springs, Colorado and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1053917294

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. WILLIAM IVAN JACKSON III

Location Address7105 HORIZON WOOD LNColorado Springs, CO 80927-4117

Mailing Address7105 Horizon Wood LnColorado Springs, CO 80927-4117 · (719) 367-0753

Phone(719) 367-0753

Sole ProprietorYes

Enumeration DateDecember 10, 2020

NPPES CertifiedDecember 10, 2020

✔ NPI 1053917294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7105 HORIZON WOOD LN, Colorado Springs, CO 80927

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Jackson's NPI number?

The NPI number for William Jackson is 1053917294. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is William Jackson located?

William Jackson practices at 7105 Horizon Wood Ln, Colorado Springs, CO 80927. The listed phone number is (719) 367-0753.

What is William Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Jackson was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.