Credell Jackson
NPI 1760968028 · Student in an Organized Health Care Education/Training Program · Los Angeles, CA
Credell Jackson is a Student in an Organized Health Care Education/Training Program provider in Los Angeles, CA (NPI 1760968028).
Provider details
- NPI number
- 1760968028
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-18
- Last updated
- 2018-07-18
Frequently asked questions
- What is Credell Jackson's NPI number?
- Credell Jackson's National Provider Identifier (NPI) is 1760968028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Credell Jackson's specialty?
- Credell Jackson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Credell Jackson located?
- Credell Jackson's practice location on file with NPPES is 333 S Beaudry Ave, Los Angeles, CA 90017-1466.
- What is Credell Jackson's phone number?
- The practice phone number listed in the NPPES registry for Credell Jackson is (213) 241-3305.
- Is Credell Jackson's NPI active?
- Yes — Credell Jackson's NPI (1760968028) is active in the NPPES registry as of the last update on 2018-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.