1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Counselor
  6. NPI Profile

NANNIE JACKSON
NPI 1467823435
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since October 15, 2015
9201 N 5TH ST, PHOENIX, AZ 85020(602) 331-5792(602) 331-7855 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nannie Jackson NPPES

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

NANNIE JACKSON (NPI 1467823435) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC 11861) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1467823435
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNANNIE JACKSON
Location Address9201 N 5TH STPhoenix, AZ 85020-2532
Mailing Address2500 W Utopia Rd, Suite 100Phoenix, AZ 85027-4171 · (623) 434-6200 · Fax (623) 434-6164
Phone(602) 331-5792
Fax(602) 331-7855
Sole ProprietorNo
Enumeration DateOctober 15, 2015
✔ NPI 1467823435 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 AZ · LISAC 11861
9201 N 5TH ST, Phoenix, AZ 85020
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

CASSIDY BROOKING-LANG LCSW
Social Worker (Clinical)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
ADRIANA GUADALUPE CARDONA LMSW
Social Worker
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5792
DESERT MISSION INC
Community/Behavioral Health
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DESERT MISSION INC
Clinic/Center (Dental)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6060
VERONICA TEREZ HURD NP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DR. TYLER BLAINE TORINA DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
KALLEN JOY BEALL DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6348
NICOLE VAUDRIN RD
Dietitian, Registered
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545

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 Nannie Jackson's NPI number?

The NPI number for Nannie Jackson is 1467823435. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Nannie Jackson located?

Nannie Jackson practices at 9201 N 5th St, Phoenix, AZ 85020. The listed phone number is (602) 331-5792.

What is Nannie 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 Nannie Jackson was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.