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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MISTY JACKSON
NPI 1912803503
Adult Companion in Carmichael, CA

Active since October 19, 2026
3631 WALNUT AVE, CARMICHAEL, CA 95608(916) 628-8356 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Misty Jackson NPPES

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

MISTY JACKSON (NPI 1912803503) is an individual adult companion provider in Carmichael, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1912803503
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameMISTY JACKSON
Location Address3631 WALNUT AVECarmichael, CA 95608-3051
Mailing Address8712 Laguna Star DrElk Grove, CA 95758-6316 · (916) 628-8356
Phone(916) 628-8356
Sole ProprietorNo
Enumeration DateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1912803503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
3631 WALNUT AVE, Carmichael, CA 95608
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Other Providers at the Same Location NPPES 5

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

THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.
Residential Treatment Facility, Emotionally Disturbed Children
3631 WALNUT AVE
CARMICHAEL, CA 95608
Sacramento County (510) 301-5809
VANESSA REYNAGA
Adult Companion
3631 WALNUT AVE
CARMICHAEL, CA 95608
Sacramento County (916) 360-2040
CHERYL CHRISTINE GUTIERREZ
Adult Companion
3631 WALNUT AVE
CARMICHAEL, CA 95608
Sacramento County (805) 391-1845
REYNA YVONNE SANTOS
Adult Companion
3631 WALNUT AVE
CARMICHAEL, CA 95608
Sacramento County (916) 886-9105
EBONY O HARRELL
Adult Companion
3631 WALNUT AVE
CARMICHAEL, CA 95608
Sacramento County (916) 627-6304

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 Misty Jackson's NPI number?

The NPI number for Misty Jackson is 1912803503. It was assigned to this individual provider in the NPPES registry on October 19, 2026.

Where is Misty Jackson located?

Misty Jackson practices at 3631 Walnut Ave, Carmichael, CA 95608. The listed phone number is (916) 628-8356.

What is Misty Jackson's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Misty Jackson was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.