MR. MARCUS S JACKSON SR.
NPI 1336767128
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pensacola, FL

Q: What is Marcus Jackson's NPI number?

The NPI number for Marcus Jackson is 1336767128. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Marcus Jackson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Jackson was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 08, 2020

5615 SHELL RD, PENSACOLA, FL 32503(850) 791-6604 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Marcus S Jackson Sr. NPPES

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

MR. MARCUS S JACKSON SR. (NPI 1336767128) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Pensacola, Florida and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1336767128

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameMR. MARCUS S JACKSON SR.

Location Address5615 SHELL RDPensacola, FL 32503-7825

Mailing Address5615 Shell RdPensacola, FL 32503-7825 · (850) 791-6604

Phone(850) 791-6604

Sole ProprietorYes

Enumeration DateJuly 8, 2020

NPPES CertifiedJuly 8, 2020

✔ NPI 1336767128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

5615 SHELL RD, Pensacola, FL 32503

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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 Marcus Jackson's NPI number?

The NPI number for Marcus Jackson is 1336767128. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Marcus Jackson located?

Marcus Jackson practices at 5615 Shell Rd, Pensacola, FL 32503. The listed phone number is (850) 791-6604.

What is Marcus Jackson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Marcus Jackson was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.