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HOLLY KRISTIN JACKMAN
NPI 1619784824
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since December 12, 2024
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841(916) 609-5100 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Dec 17, 2025, Dec 12, 2024 (3 updates tracked since 2024).

About Holly Kristin Jackman NPPES

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

HOLLY KRISTIN JACKMAN (NPI 1619784824) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1619784824
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHOLLY KRISTIN JACKMAN
Location Address5445 LAUREL HILLS DRSacramento, CA 95841-3105
Mailing Address5445 Laurel Hills DrSacramento, CA 95841-3105 · (916) 609-5100
Phone(916) 609-5100
Sole ProprietorNo
Enumeration DateDecember 12, 2024
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1619784824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
5445 LAUREL HILLS DR, Sacramento, CA 95841
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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.

RIVER OAK CENTER FOR CHILDREN
Residential Treatment Facility, Emotionally Disturbed Children
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-4235
MS. AMARJARGAL DASHNYAM
Rehabilitation Practitioner
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 281-1566
NATHALY VILLASENOR RODRIGUEZ
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
TIFFANY MOORE
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
MRS. JANNIS SHIBASAKI COOK AMFT
Marriage & Family Therapist
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
KENDY KAYTE TUAZON
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
KYLE WILLIAM SILVER
Military Health Care Provider
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5153
RAINA COLE M.S.
Counselor (Mental Health)
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100

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 Holly Jackman's NPI number?

The NPI number for Holly Jackman is 1619784824. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Holly Jackman located?

Holly Jackman practices at 5445 Laurel Hills Dr, Sacramento, CA 95841. The listed phone number is (916) 609-5100.

What is Holly Jackman'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 Holly Jackman was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.