JEFFREY JACKSON
NPI 1578193181
Student in an Organized Health Care Education/Training Program in Manteno, IL

Q: What is Jeffrey Jackson's NPI number?

The NPI number for Jeffrey Jackson is 1578193181. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Jeffrey Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Jackson was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 22, 2020

1055 W LONGFELLOW DR, MANTENO, IL 60950(815) 549-2955 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jeffrey Jackson NPPES

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

JEFFREY JACKSON (NPI 1578193181) is an individual student in an organized health care education/training program in Manteno, Illinois and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1578193181

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEFFREY JACKSON

Location Address1055 W LONGFELLOW DRManteno, IL 60950-9472

Mailing Address1055 W Longfellow DrManteno, IL 60950-9472

Phone(815) 549-2955

Sole ProprietorNo

Enumeration DateJanuary 22, 2020

✔ NPI 1578193181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1055 W LONGFELLOW DR, Manteno, IL 60950

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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 Jeffrey Jackson's NPI number?

The NPI number for Jeffrey Jackson is 1578193181. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Jeffrey Jackson located?

Jeffrey Jackson practices at 1055 W Longfellow Dr, Manteno, IL 60950. The listed phone number is (815) 549-2955.

What is Jeffrey Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Jackson was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.