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

Stacy Jackson

Individual provider Rehabilitation Practitioner · NPI 1720864994

Stacy Jackson is a Rehabilitation Practitioner in Washington, District of Columbia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1100 H St NW
Washington, DC 20005-5476
Phone: (888) 701-3131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1720864994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

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