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BAILIE SHANAE JACKSON MD
NPI 1659213122
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 06, 2026
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3910 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bailie Shanae Jackson Md NPPES

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

BAILIE SHANAE JACKSON MD (NPI 1659213122) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1659213122
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBAILIE SHANAE JACKSONCredential: MD
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address518 Copeland DrCedar Hill, TX 75104-5062
Phone(210) 704-3910
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1659213122 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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Bailie Jackson's NPI number?

The NPI number for Bailie Jackson is 1659213122. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Bailie Jackson located?

Bailie Jackson practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3910.

What is Bailie 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 Bailie Jackson was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.