Vaughn D Jackson, PLLC
Vaughn D Jackson, PLLC is a Medical Specialty Clinic/Center in LA Jara, Colorado. Licensed in Colorado. Registered with an NPI since 2013.
- Licensed in
- CO
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
412 MainLA Jara, CO 81140
Phone: (719) 274-4500
Fax: (719) 274-4504
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 31351 (CO) |
|---|
Record details
| NPI number | 1710308952 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vaughn Jackson — Sole Member · (719) 274-4500 |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | December 13, 2013 |
| Mailing address | P.O. Box 272, 416 Main, La Jara, CO 81140 |