CORNELL DEMETRIUS JACKSON SR. MS MENTAL HEALTH
NPI 1215667373
Counselor - Mental Health in Alton, IL
About Cornell Demetrius Jackson Sr. Ms Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNELL DEMETRIUS JACKSON SR. MS MENTAL HEALTH (NPI 1215667373) is an individual mental health provider in Alton, Illinois and active in the NPI registry since June 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cornell Jackson's NPI number?
The NPI number for Cornell Jackson is 1215667373. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Cornell Jackson located?
Cornell Jackson practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (730) 274-0085.
What is Cornell Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Cornell Jackson was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
