Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Dawn Jacks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639959745

Elizabeth Dawn Jacks is a Student in an Organized Health Care Education/Training Program in Grand Junction, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

562 29 Rd
Grand Junction, CO 81504-8901
Phone: (970) 256-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639959745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2023
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address2914 Kathy Jo Ln, Grand Junction, CO 81503-2932

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