Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIDGETTE JACKSON
Active Sole ProprietorBRIDGETTE JACKSON is a Health Service Psychologist healthcare provider located in EVANSTON, Illinois. NPI 1497291637 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · EVANSTON, IL
Registration Details
- NPI Number
- 1497291637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2017 (9.6223126524457 yrs)
- Last Updated
- Jan 11, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
355 RIDGE AVEEVANSTON, IL, 602023328Browse IL providers · Browse ZIP 60202
- Phone
- 8473162440
- Fax
- 8473162369
- Primary Specialty
-
Health Service Psychologist
103TH0100X
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.