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CAMERON JACKSON
NPI 1942746177
Student in an Organized Health Care Education/Training Program in Lakeville, MN

Active since January 11, 2017
10490 167TH ST W, LAKEVILLE, MN 55044(952) 270-7414 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cameron Jackson NPPES

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

CAMERON JACKSON (NPI 1942746177) is an individual student in an organized health care education/training program in Lakeville, Minnesota and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1942746177
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCAMERON JACKSON
Location Address10490 167TH ST WLakeville, MN 55044-5686
Mailing Address10490 167th St WLakeville, MN 55044-5686 · (952) 270-7414
Phone(952) 270-7414
Sole ProprietorNo
Enumeration DateJanuary 11, 2017
✔ NPI 1942746177 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.
10490 167TH ST W, Lakeville, MN 55044
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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 Cameron Jackson's NPI number?

The NPI number for Cameron Jackson is 1942746177. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Cameron Jackson located?

Cameron Jackson practices at 10490 167th St W, Lakeville, MN 55044. The listed phone number is (952) 270-7414.

What is Cameron 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 Cameron Jackson was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.