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

Stephanie Jacks

Individual provider Pediatrics Physician · NPI 1003041567

Stephanie Jacks is a Pediatrics Physician in Roseville, California. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2120 Professional Dr
Roseville, CA 95661-3700
Phone: (916) 771-7700
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R4401 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence R4401 (TX)

Record details

NPI number1003041567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2009
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address2120 Professional Dr, Roseville, CA 95661-3700

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