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

Renee Jackson

Individual provider Specialist · NPI 1629997374

Renee Jackson is a Specialist in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2930 N 108th St
Omaha, NE 68164-3710
Phone: (402) 709-1964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629997374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 15, 2026
Mailing address2027 N 83rd St, Omaha, NE 68134-6301

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