IndividualActive
James Jackson
NPI 1093513699 · Developmental Disabilities Clinic/Center · Ralston, NE
Provider details
- NPI number
- 1093513699
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5720 S 77th St
Ralston, NE 68127-4202
Phone: (531) 200-0563
Approximate (ZIP-level) locationGet directions
Mailing address
5720 S 77th St
Ralston, NE 68127-4202
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.