NPI 1003041567

Stephanie Jacks

Practitioner Pediatrics Physician Roseville, CA

Practice location

Address: 2120 Professional Dr, Roseville, CA 95661-3700
Phone: (916) 771-7700

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence R4401 (TX)

Other Pediatrics providers in California →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence R4401 (TX)

Other Dermatology providers in California →

Registry record

NPI: 1003041567
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2009
Record last updated: 8 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.