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THERESA DIANN JACKSON
NPI 1346023942
Peer Specialist in Tulsa, OK

Active since August 16, 2023
6333 E SKELLY DR, TULSA, OK 74135(918) 779-7216 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Diann Jackson NPPES

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

THERESA DIANN JACKSON (NPI 1346023942) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1346023942
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTHERESA DIANN JACKSON
Location Address6333 E SKELLY DRTulsa, OK 74135-6106
Mailing Address6333 E Skelly DrTulsa, OK 74135-6106 · (918) 779-7216
Phone(918) 779-7216
Sole ProprietorNo
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1346023942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6333 E SKELLY DR, Tulsa, OK 74135
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Other Names 1

Professional Name (2)Leza Diann Jackson

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.

JERRY LEE MANUS
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KRYSTAL DAWN HUTCHINSON
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7216
MS. ABIGAIL ELIZABETH CARLISLE
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (000) 000-0000
TANYA CRAWFORD RN
Registered Nurse
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
KELLI ANN ORDORICA
Case Manager/Care Coordinator
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 779-7151
JAYSON SWISHER
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224
IVAN HONEYCUTT
Peer Specialist
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 222-2222
GLORY S KALAKURCHA M.A.
Counselor (Addiction (Substance Use Disorder))
6333 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 664-4224

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 Theresa Jackson's NPI number?

The NPI number for Theresa Jackson is 1346023942. It was assigned to this individual provider in the NPPES registry on August 16, 2023. The provider is also known as Leza Diann Jackson.

Where is Theresa Jackson located?

Theresa Jackson practices at 6333 E Skelly Dr, Tulsa, OK 74135. The listed phone number is (918) 779-7216.

What is Theresa Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Theresa Jackson was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.