IndividualActive
Virgil Jackson
NPI 1205763893 · Foster Care Agency · Elkhorn, NE
Provider details
- NPI number
- 1205763893
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
2507 N 187th Ave
Elkhorn, NE 68022-4539
Phone: (918) 304-9225
Approximate (ZIP-level) locationGet directions
Mailing address
4805 N 72nd St
Omaha, NE 68134-2304
Registry dates
- Enumerated
- 2026-05-06
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.