IndividualActive
Danny Jackson, BSN
NPI 1932525938 · Pediatric Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1932525938
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- BSN
- Sex
- Male
- Sole proprietor
- No
- License
- 641564 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
516 E. Nizhoni Blvd
Gallup, NM 87301-1337
Phone: (505) 722-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1337
Gallup, NM 87301-1337
Registry dates
- Enumerated
- 2014-03-14
- Last updated
- 2014-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.