Dr. Stacy L Jackson is a Lafayette, California based female chiropractor who is specialized as General Chiropractor. Active license number of Dr. Stacy L Jackson as General Chiropractor is 19455 in California. Dr. Stacy L Jackson is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Stacy L Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Female
Practice Address:
3249 Mt Diablo Ct, Suite 102, Lafayette, California, 94549-4084
Phone:
925-952-4222
Fax:
925-952-4212
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1851473466
NPI Enumeration Date:
20 Oct, 2006
NPI Last Update On:
12 Mar, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stacy L Jackson are as mentioned below.
License Number
Specialization
State
Status
19455
Chiropractor
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Stacy L Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DC0194550
Other
California
PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3249 Mt Diablo Ct, Suite 102 Lafayette, California
Zip:
94549-4084
Phone Number:
925-952-4222
Fax Number:
925-952-4212
Patients can reach Dr. Stacy L Jackson at 3249 Mt Diablo Ct, Suite 102, Lafayette, California or can call to book an appointment on 925-952-4222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.