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DR. BRIAN JACKSON DR. AD, CAP
NPI 1215470380
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Active since November 22, 2016
3 SHIRCLIFF WAY STE 640, JACKSONVILLE, FL 32204(904) 389-3784 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian Jackson Dr. Ad, Cap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN JACKSON DR. AD, CAP (NPI 1215470380) is an individual addiction (substance use disorder) provider in Jacksonville, Florida, licensed in Florida (4410) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1215470380
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDR. BRIAN JACKSONCredential: DR. AD, CAP
Location Address3 SHIRCLIFF WAY STE 640Jacksonville, FL 32204-4787
Mailing Address3 Shircliff Way Ste 640Jacksonville, FL 32204-4787 · (904) 389-3784
Phone(904) 389-3784
Sole ProprietorYes
Enumeration DateNovember 22, 2016
✔ NPI 1215470380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in FL · 4410
3 SHIRCLIFF WAY STE 640, Jacksonville, FL 32204
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE MCQUEEN
Social Worker (Clinical)
3 SHIRCLIFF WAY STE 640
JACKSONVILLE, FL 32204
Duval County (904) 389-3784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1215470380. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is Brian Jackson located?

Brian Jackson practices at 3 Shircliff Way Ste 640, Jacksonville, FL 32204. The listed phone number is (904) 389-3784.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brian Jackson was last updated on November 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.