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TYLER JACKSON
NPI 1558242008
Peer Specialist in Jacksonville, FL

Active since September 10, 2025
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6156 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Jackson NPPES

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

TYLER JACKSON (NPI 1558242008) is an individual peer specialist in Jacksonville, Florida and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1558242008
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTYLER JACKSON
Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4222
Mailing Address555 Stockton StJacksonville, FL 32204-2534
Phone(904) 702-6156
Sole ProprietorNo
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1558242008 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.
3625 UNIVERSITY BLVD S, Jacksonville, FL 32216
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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.

LINDSAY MICHELLE PUTKOWSKI CRNA
Nurse Anesthetist, Certified Registered
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
KENNETH AUNG-DIN MD
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 399-6811
MRS. GLORIANNE BOYD RD,LD/N
Dietitian, Registered
3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216
Duval County (904) 399-6313
PETER LOUIS KOVACS MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
NAKISH DANIELLE GRANT M.D.
General Practice
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
SUMMIT EMERGENCY PHYSICIANS, LLC
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (469) 401-2386
KELLY MICHELLE DEWIT PHARMD
Pharmacist
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6160
DR. JUDY BOWERS M.D.
Obstetrics & Gynecology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6850

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 Tyler Jackson's NPI number?

The NPI number for Tyler Jackson is 1558242008. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Tyler Jackson located?

Tyler Jackson practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6156.

What is Tyler 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 Tyler Jackson was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.