Provider Demographics
NPI:1265567267
Name:JACKSON, DARIN E (MD)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:E
Last Name:JACKSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1201 RANCH VIEW LN
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2239
Mailing Address - Country:US
Mailing Address - Phone:402-650-7333
Mailing Address - Fax:402-333-1037
Practice Address - Street 1:17650 WRIGHT ST STE 3
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2800
Practice Address - Country:US
Practice Address - Phone:402-334-5433
Practice Address - Fax:402-333-1037
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE20271207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H49408Medicare UPIN