Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY JACKSON III
Active Sole ProprietorJOHNNY JACKSON III is a Peer Specialist healthcare provider located in FAIRFIELD, Ohio. NPI 1336929884 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · FAIRFIELD, OH
Registration Details
- NPI Number
- 1336929884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2023 (2.8818559491734 yrs)
- Last Updated
- Nov 16, 2023
- License
-
APS.004453 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6570 SOSNA DRFAIRFIELD, OH, 450142222Browse OH providers · Browse ZIP 45014
- Phone
- 5139424673
- Fax
- 5138601439
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Case Manager
Other Peer Specialist Providers in FAIRFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| JACQUELINE VALENTIN | — | 1619559614 |
| NATASHA HALL | — | 1720768757 |
| JOHN H YOST | — | 1639916570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.