Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL NEILEND JACKSON, PHD
ActiveRUSSELL NEILEND JACKSON, PHD is a Geriatric Psychologist healthcare provider located in COLUMBIA, Missouri. NPI 1598426884 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychologist · COLUMBIA, MO
Registration Details
- NPI Number
- 1598426884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2022 (4.593897195811 yrs)
- Last Updated
- Sep 29, 2025
- Licenses
-
2021011992 (MO)2021011992 (MO)2021011992 (MO)
Practice Information
- Address
-
414 E BROADWAY STE 201ACOLUMBIA, MO, 652014489Browse MO providers · Browse ZIP 65201
- Phone
- 5154600047
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Geriatric Psychologist
Other Geriatric Psychologist Providers in COLUMBIA, MO
| Name | Credential | NPI |
|---|---|---|
| DR. TOMAS A SCHREIBER | PHD | 1245357318 |
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.