Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN A JACKSON
ActiveJUSTIN A JACKSON is a Peer Specialist healthcare provider located in SCHENECTADY, New York. NPI 1962246629 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SCHENECTADY, NY
Registration Details
- NPI Number
- 1962246629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2024 (2.0103634251719 yrs)
- Last Updated
- Mar 24, 2025
- License
-
7214-P (NY)
Practice Information
- Address
-
600 FRANKLIN ST STE 204SCHENECTADY, NY, 123052107Browse NY providers · Browse ZIP 12305
- Phone
- 5183727031
- Fax
- 5183727064
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in SCHENECTADY, NY
| Name | Credential | NPI |
|---|---|---|
| JESSICA WAKEFIELD | — | 1659987790 |
| STEPHANIE L SHULGAY | — | 1407512452 |
| EBONY DERAVARIERE | — | 1669271029 |
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.