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JUSTIN JACKSON
NPI 1760999841
Specialist in Waite Park, MN

Active since January 10, 2018
423 GREAT OAK DR, WAITE PARK, MN 56387(320) 281-5305 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Jackson NPPES

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

JUSTIN JACKSON (NPI 1760999841) is an individual specialist in Waite Park, Minnesota and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1760999841
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJUSTIN JACKSON
Location Address423 GREAT OAK DRWaite Park, MN 56387-2507
Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055
Phone(320) 281-5305
Sole ProprietorNo
Enumeration DateJanuary 10, 2018
✔ NPI 1760999841 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.
423 GREAT OAK DR, Waite Park, MN 56387
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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.

REBECCA NELSON
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
MARY DOMINE
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
ERIN SCHOBORG
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
JENNIFER GERTEN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
BARRY WOLFF
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
TAYLOR SPREEMAN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
KLOE PETTIT-SPERLING
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
NICOLE HINES
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338

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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1760999841. It was assigned to this individual provider in the NPPES registry on January 10, 2018.

Where is Justin Jackson located?

Justin Jackson practices at 423 Great Oak Dr, Waite Park, MN 56387. The listed phone number is (320) 281-5305.

What is Justin 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 Justin Jackson was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.