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MS. PETRINA F JACKSON M.S., CCC-SLP
NPI 1952476822
Speech-Language Pathologist in Blue Island, IL

Active since November 22, 2006
12224 FAIRWAY CIR, UNIT A, BLUE ISLAND, IL 60406(708) 824-9524(708) 824-9524 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Petrina F Jackson M.s., Ccc-slp NPPES

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

MS. PETRINA F JACKSON M.S., CCC-SLP (NPI 1952476822) is an individual speech-language pathologist provider in Blue Island, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1952476822
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. PETRINA F JACKSONCredential: M.S., CCC-SLP
Location Address12224 FAIRWAY CIR, UNIT ABlue Island, IL 60406-3611
Mailing Address12224 Fairway Cir, Unit ABlue Island, IL 60406-3611 · (708) 824-9524 · Fax (708) 824-9524
Phone(708) 824-9524
Fax(708) 824-9524
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952476822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
12224 FAIRWAY CIR, Blue Island, IL 60406
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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 Petrina Jackson's NPI number?

The NPI number for Petrina Jackson is 1952476822. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Petrina Jackson located?

Petrina Jackson practices at 12224 Fairway Cir Unit A, Blue Island, IL 60406. The listed phone number is (708) 824-9524.

What is Petrina Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Petrina Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.