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QUENTON JAMES JACKSON
NPI 1821774084
Peer Specialist in Yukon, OK

Active since June 23, 2023
801 LIBERTY MESA CT, YUKON, OK 73099(405) 593-7551 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quenton James Jackson NPPES

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

QUENTON JAMES JACKSON (NPI 1821774084) is an individual peer specialist in Yukon, Oklahoma and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1821774084
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameQUENTON JAMES JACKSON
Location Address801 LIBERTY MESA CTYukon, OK 73099-5571
Mailing Address801 Liberty Mesa CtYukon, OK 73099-5571 · (405) 593-7551
Phone(405) 593-7551
Sole ProprietorYes
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1821774084 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.
801 LIBERTY MESA CT, Yukon, OK 73099
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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 Quenton Jackson's NPI number?

The NPI number for Quenton Jackson is 1821774084. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Quenton Jackson located?

Quenton Jackson practices at 801 Liberty Mesa Ct, Yukon, OK 73099. The listed phone number is (405) 593-7551.

What is Quenton Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Quenton Jackson was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.