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TIONNA JACKSON
NPI 1720836877
Counselor - Professional in Peoria, IL

Active since May 13, 2024
4900 N GLEN PARK PLACE RD STE B, PEORIA, IL 61614(217) 714-7042 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tionna Jackson NPPES

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

TIONNA JACKSON (NPI 1720836877) is an individual professional provider in Peoria, Illinois and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1720836877
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIONNA JACKSON
Location Address4900 N GLEN PARK PLACE RD STE BPeoria, IL 61614-4685
Mailing Address1704 W Gilbert AvePeoria, IL 61604-2531 · (309) 258-7224
Phone(217) 714-7042
Sole ProprietorNo
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1720836877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4900 N GLEN PARK PLACE RD STE B, Peoria, IL 61614
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLY L JOHNSON MSW
Social Worker
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (217) 714-7042
CLARK CHIROPRACTIC CENTER, LLC
Chiropractor
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (309) 645-9665
MARIA ANN HIGHT
Counselor (Mental Health)
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (309) 431-5422
JAYME LUSTER
Counselor (Mental Health)
4900 N GLEN PARK PLACE RD STE B
PEORIA, IL 61614
Peoria County (217) 714-7042

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 Tionna Jackson's NPI number?

The NPI number for Tionna Jackson is 1720836877. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Tionna Jackson located?

Tionna Jackson practices at 4900 N Glen Park Place Rd Ste B, Peoria, IL 61614. The listed phone number is (217) 714-7042.

What is Tionna Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tionna Jackson was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.