DEANNA JACKSON
NPI 1548055239
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Deanna Jackson's NPI number?

The NPI number for Deanna Jackson is 1548055239. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Q: What is Deanna Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Jackson was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 12, 2025

164 N PEORIA ST APT 2101, CHICAGO, IL 60607(708) 545-7415 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deanna Jackson NPPES

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

DEANNA JACKSON (NPI 1548055239) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209032018) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1548055239

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDEANNA JACKSON

Location Address164 N PEORIA ST APT 2101Chicago, IL 60607-2368

Mailing Address164 N Peoria St Apt 2101Chicago, IL 60607-2368 · (708) 545-7415

Phone(708) 545-7415

Sole ProprietorYes

Enumeration DateApril 12, 2025

NPPES CertifiedApril 12, 2025

✔ NPI 1548055239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209032018

164 N PEORIA ST APT 2101, Chicago, IL 60607

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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 Deanna Jackson's NPI number?

The NPI number for Deanna Jackson is 1548055239. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Where is Deanna Jackson located?

Deanna Jackson practices at 164 N Peoria St Apt 2101, Chicago, IL 60607. The listed phone number is (708) 545-7415.

What is Deanna Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Deanna Jackson was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.