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VAUGHN D JACKSON, PLLC
NPI 1710308952
Clinic/Center - Medical Specialty in La Jara, CO

Active since December 13, 2013
412 MAIN, LA JARA, CO 81140(719) 274-4500(719) 274-4504 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vaughn D Jackson, Pllc NPPES

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

VAUGHN D JACKSON, PLLC (NPI 1710308952) is a healthcare organization registered as a medical specialty in La Jara, Colorado and active in the NPI registry since December 2013. The organization lists Vaughn D Jackson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1710308952
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVAUGHN D JACKSON, PLLC
Location Address412 MAINLa Jara, CO 81140
Mailing AddressP.o. Box 272, 416 MainLa Jara, CO 81140 · (719) 274-4500 · Fax (719) 274-4504
Phone(719) 274-4500
Fax(719) 274-4504
Organization SubpartNo
Authorized OfficialVaughn D JacksonSole Member · (719) 274-4500
Enumeration DateDecember 13, 2013
✔ NPI 1710308952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CO · 31351
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
412 MAIN, La Jara, CO 81140
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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 Vaughn D Jackson, PLLC's NPI number?

The NPI number for Vaughn D Jackson, PLLC is 1710308952. It was assigned to this organization in the NPPES registry on December 13, 2013.

Where is Vaughn D Jackson, PLLC located?

Vaughn D Jackson, PLLC is located at 412 Main, La Jara, CO 81140. The listed phone number is (719) 274-4500.

What is Vaughn D Jackson, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Vaughn D Jackson, PLLC was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.