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DR. JONNIE R. JACKSON
NPI 1225550502
Counselor - Pastoral in East Stroudsburg, PA

Active since July 08, 2017
141 RUNNYMEDE DR, EAST STROUDSBURG, PA 18301(570) 476-4279 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 8, 2017 (2 updates tracked since 2017).

About Dr. Jonnie R. Jackson NPPES

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

DR. JONNIE R. JACKSON (NPI 1225550502) is an individual pastoral provider in East Stroudsburg, Pennsylvania and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1225550502
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameDR. JONNIE R. JACKSON
Location Address141 RUNNYMEDE DREast Stroudsburg, PA 18301-6958
Mailing Address141 Runnymede DrEast Stroudsburg, PA 18301-6958 · (570) 476-4279
Phone(570) 476-4279
Sole ProprietorYes
Enumeration DateJuly 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1225550502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
141 RUNNYMEDE DR, East Stroudsburg, PA 18301
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Other Identifiers 1

Medicaid00000000000000000000PA

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 Jonnie Jackson's NPI number?

The NPI number for Jonnie Jackson is 1225550502. It was assigned to this individual provider in the NPPES registry on July 8, 2017.

Where is Jonnie Jackson located?

Jonnie Jackson practices at 141 Runnymede Dr, East Stroudsburg, PA 18301. The listed phone number is (570) 476-4279.

What is Jonnie Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Jonnie Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.