JOHN ARCHIE JACKSON JR.
NPI 1801439799
Counselor - Addiction (Substance Use Disorder) in Elizabethtown, NC

Q: What is John Jackson's NPI number?

The NPI number for John Jackson is 1801439799. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Q: What is John Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for John Jackson was last updated on October 23, 2019. 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 October 23, 2019

209 MARTIN LUTHER KING DR, ELIZABETHTOWN, NC 28337(910) 247-6822(910) 247-6829 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Archie Jackson Jr. NPPES

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

JOHN ARCHIE JACKSON JR. (NPI 1801439799) is an individual addiction (substance use disorder) provider in Elizabethtown, North Carolina, licensed in North Carolina (1917) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1801439799

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJOHN ARCHIE JACKSON JR.

Location Address209 MARTIN LUTHER KING DRElizabethtown, NC 28337

Mailing Address12500 Ormsby DrLaurinburg, NC 28352-7770 · (910) 318-4008 · Fax (910) 247-6829

Phone(910) 247-6822

Fax(910) 247-6829

Sole ProprietorYes

Enumeration DateOctober 23, 2019

✔ NPI 1801439799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · 1917

209 MARTIN LUTHER KING DR, Elizabethtown, NC 28337

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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 John Jackson's NPI number?

The NPI number for John Jackson is 1801439799. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is John Jackson located?

John Jackson practices at 209 Martin Luther King Dr, Elizabethtown, NC 28337. The listed phone number is (910) 247-6822.

What is John Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on October 23, 2019. 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.