NPI 1316865744

Andre Lee Jackson

Practitioner Substance Abuse Rehabilitation Facility Omaha, NE

Practice location

Address: 2115 N 27th St, Omaha, NE 68111-4337
Phone: (402) 949-8534

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Transportation Network Company

Transportation Services Taxonomy 342000000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1316865744
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2026
Record last updated: 6 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.