JACKIE JACKSON
NPI 1952147530
Peer Specialist in Tulare, CA
- Individual
- Male
- Peer Specialist
About JACKIE JACKSON
This page provides the complete NPI Profile along with additional information for Jackie Jackson, a provider established in Tulare, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1952147530 assigned on July 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1952147530 Verify this NPI
- Provider Name
- JACKIE JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 201 N K ST TULARE, CA 93274
- Location Phone
- (559) 521-9023
- Mailing Address
- 2100 S LASPINA ST APT 107 TULARE, CA 93274
- Mailing Phone
- (559) 837-8505
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2024
- Last Update Date
- 07-03-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
TULARE, CA 93274
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952147530, enumerated as an "individual" on July 03, 2024.
The provider is located at 201 N K ST TULARE, CA 93274 and the phone number is (559) 521-9023.
Peer Specialist with taxonomy code 175T00000X.
