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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RENEE JACKSON
NPI 1629997374
Specialist in Omaha, NE

Active since July 14, 2026
2930 N 108TH ST, OMAHA, NE 68164(402) 709-1964 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee Jackson NPPES

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

RENEE JACKSON (NPI 1629997374) is an individual specialist in Omaha, Nebraska and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1629997374
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameRENEE JACKSON
Location Address2930 N 108TH STOmaha, NE 68164-3710
Mailing Address2027 N 83rd StOmaha, NE 68134-6301
Phone(402) 709-1964
Sole ProprietorYes
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1629997374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2930 N 108TH ST, Omaha, NE 68164
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DELANGELO DUPREE FROST
Custodial Care Facility (Adult Care Home)
2930 N 108TH ST
OMAHA, NE 68164
Douglas County (402) 709-1964

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 Renee Jackson's NPI number?

The NPI number for Renee Jackson is 1629997374. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Renee Jackson located?

Renee Jackson practices at 2930 N 108th St, Omaha, NE 68164. The listed phone number is (402) 709-1964.

What is Renee Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Renee Jackson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.