JEANNINE JENAT JACKSON
NPI 1629940978
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA

Q: What is Jeannine Jackson's NPI number?

The NPI number for Jeannine Jackson is 1629940978. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Q: What is Jeannine 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 Jeannine Jackson was last updated on September 18, 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.

Active since September 18, 2025

7400 CENTER AVE APT 548, HUNTINGTON BEACH, CA 92647(301) 412-4019 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeannine Jenat Jackson NPPES

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

JEANNINE JENAT JACKSON (NPI 1629940978) is an individual psychiatric/mental health provider in Huntington Beach, California, licensed in California (95036775) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1629940978

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJEANNINE JENAT JACKSON

Location Address7400 CENTER AVE APT 548Huntington Beach, CA 92647-9191

Mailing Address7400 Center Ave Apt 548Huntington Beach, CA 92647-9191 · (301) 412-4019

Phone(301) 412-4019

Sole ProprietorYes

Enumeration DateSeptember 18, 2025

NPPES CertifiedSeptember 18, 2025

✔ NPI 1629940978 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 CA · 95036775

7400 CENTER AVE APT 548, Huntington Beach, CA 92647

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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 Jeannine Jackson's NPI number?

The NPI number for Jeannine Jackson is 1629940978. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Jeannine Jackson located?

Jeannine Jackson practices at 7400 Center Ave Apt 548, Huntington Beach, CA 92647. The listed phone number is (301) 412-4019.

What is Jeannine 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 Jeannine Jackson was last updated on September 18, 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.