JACKLYN MICHELLE TULL PRSS - NPI 1801692603 - Peer Specialist in Charleston, WV

Q: What is Jacklyn Tull's NPI number?

The NPI number for Jacklyn Tull is 1801692603. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Q: What is Jacklyn Tull's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Tull was last updated on February 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacklyn Michelle Tull Prss NPPES

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

JACKLYN MICHELLE TULL PRSS (NPI 1801692603) is an individual peer specialist in Charleston, West Virginia and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1801692603

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJACKLYN MICHELLE TULLCredential: PRSS

Location Address1303 WASHINGTON ST WCharleston, WV 25302-1333

Mailing Address31 Clay CtMount Hope, WV 25880-1501 · (681) 463-8884

Phone(304) 202-1699

Sole ProprietorNo

Enumeration DateFebruary 21, 2025

NPPES CertifiedFebruary 21, 2025

✔ NPI 1801692603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1303 WASHINGTON ST W, Charleston, WV 25302

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Other Providers at the Same Location NPPES 20

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

MR. ETHAN WILLIAM EVERS BS

Counselor