TAWANN JACKSON ED.S, NCSP
NPI 1710404496
Psychologist - School in Bolingbrook, IL
About Tawann Jackson Ed.s, Ncsp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAWANN JACKSON ED.S, NCSP (NPI 1710404496) is an individual school provider in Bolingbrook, Illinois, licensed in Illinois (2403396) and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
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 Tawann Jackson's NPI number?
The NPI number for Tawann Jackson is 1710404496. It was assigned to this individual provider in the NPPES registry on August 24, 2017.
Where is Tawann Jackson located?
Tawann Jackson practices at 360 Blair Lane Door 13, Bolingbrook, IL 60615. The listed phone number is (630) 679-1210.
What is Tawann Jackson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Tawann Jackson was last updated on August 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.