MRS. AUTUMN KAMINEH BADGER JACKSON
NPI 1497504070
Social Worker - Clinical in Danville, IL
About Mrs. Autumn Kamineh Badger Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AUTUMN KAMINEH BADGER JACKSON (NPI 1497504070) is an individual clinical provider in Danville, Illinois, licensed in Illinois (150111308) and active in the NPI registry since May 2024.
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.
DANVILLE, IL 61832
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 Autumn Jackson's NPI number?
The NPI number for Autumn Jackson is 1497504070. It was assigned to this individual provider in the NPPES registry on May 15, 2024.
Where is Autumn Jackson located?
Autumn Jackson practices at 1900 E Main St, Danville, IL 61832. The listed phone number is (217) 554-4074.
What is Autumn Jackson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Autumn Jackson was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.