Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS ADDISON JACKSON, RPRS QMHP-A
ActiveCase Manager · STAUNTON, VA
Registration Details
- NPI Number
- 1770941932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2016 (10.221105141693 yrs)
- Last Updated
- Mar 12, 2021
Practice Information
- Address
-
652 W FREDERICK STSTAUNTON, VA, 244013103Browse VA providers · Browse ZIP 24401
- Phone
- 4342490851
- Fax
- 4342180530
- Primary Specialty
-
Case Manager
171M00000X
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.