JACKSON KYLE BAILEY
NPI 1467049122
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Jackson Bailey's NPI number?

The NPI number for Jackson Bailey is 1467049122. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Jackson Bailey'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 Jackson Bailey was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 29, 2020

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-2011 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Kyle Bailey NPPES

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

JACKSON KYLE BAILEY (NPI 1467049122) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1467049122

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON KYLE BAILEY

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address4822 Nw Fir PlAlbany, OR 97321-9114 · (503) 887-5010

Phone(210) 704-2011

Sole ProprietorYes

Enumeration DateDecember 29, 2020

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1467049122 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.

333 N SANTA ROSA, San Antonio, TX 78207

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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