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ADAM JACKSON
NPI 1902423304
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since July 01, 2020
3909 WOODLEY RD, TOLEDO, OH 43606(567) 455-5334 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Jackson NPPES

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

ADAM JACKSON (NPI 1902423304) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1902423304
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM JACKSON
Location Address3909 WOODLEY RDToledo, OH 43606-1169
Mailing Address3909 Woodley RdToledo, OH 43606-1169
Phone(567) 455-5334
Sole ProprietorNo
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1902423304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3909 WOODLEY RD, Toledo, OH 43606
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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.

KELLY A GARZA LSW, LCDCIII-GAMB
Social Worker
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330
DONNA LAVETTE JOHNSON BSW, LSW
Social Worker (Clinical)
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 475-4449
CONSTANTINE MODGLIN
Case Manager/Care Coordinator
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330
PROMEDICA CENTRAL PHYSICIANS
Surgery
3909 WOODLEY RD, SUITE 200
TOLEDO, OH 43606
Lucas County (419) 291-6777
KORTNEY WARD
Counselor (Professional)
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330
NICHOLAS E MUESER
Social Worker (Clinical)
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330
ALEAH GALLEGOS
Nurse Practitioner (Psychiatric/Mental Health)
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330
TRACEY GULLETT
Case Manager/Care Coordinator
3909 WOODLEY RD
TOLEDO, OH 43606
Lucas County (419) 725-3330

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 Adam Jackson's NPI number?

The NPI number for Adam Jackson is 1902423304. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Adam Jackson located?

Adam Jackson practices at 3909 Woodley Rd, Toledo, OH 43606. The listed phone number is (567) 455-5334.

What is Adam Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Adam Jackson was last updated on July 1, 2020. 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.