Provider Demographics
NPI:1154441202
Name:JACKSON INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:JACKSON INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:FINANCIAL OFFICER
Authorized Official - Phone:606-666-4979
Mailing Address - Street 1:940 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-1124
Mailing Address - Country:US
Mailing Address - Phone:606-666-4979
Mailing Address - Fax:606-666-4350
Practice Address - Street 1:940 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-1124
Practice Address - Country:US
Practice Address - Phone:606-666-4979
Practice Address - Fax:606-666-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)