Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY JACKSON
ActiveJEFFREY JACKSON is a Student (Health Education/Training) healthcare provider located in MANTENO, Illinois. NPI 1578193181 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MANTENO, IL
Registration Details
- NPI Number
- 1578193181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2020 (6.5954671096235 yrs)
- Last Updated
- Jan 22, 2020
Practice Information
- Address
-
1055 W LONGFELLOW DRMANTENO, IL, 609509472Browse IL providers · Browse ZIP 60950
- Phone
- 8155492955
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in MANTENO, IL
| Name | Credential | NPI |
|---|---|---|
| EMMILY ZINKIEWICZ | — | 1508355587 |
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.