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NPI · 1104908417 · NPPES-sourced

Jessie Jackson

ActiveChild Mental Illness Respite Care
NPI Number
1104908417
Type 1 · Individual
Taxonomy Code
385HR2055X
Contact
(520) 733-1165
License AZ · 3923
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-10-19
Primary practice addressAZ · 85730-5220
9855 E Irvington Rd, Unit #82Tucson, AZ 85730-5220
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Also known as

  • Also known asJackson, Raymond L

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1104908417 is registered to Jessie Jackson, a Child Mental Illness Respite Care practising at 9855 E Irvington Rd, Unit #82 in Tucson, Arizona. Child Mental Illness Respite Care is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jessie Jackson has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-10-19
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jessie Jackson accepts. To confirm in-network status with your specific health plan, contact Jessie Jackson directly at (520) 733-1165.

Frequently asked

Yes. NPI 1104908417 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Child Mental Illness Respite Care is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (520) 733-1165.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jessie Jackson is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy385HR2055X
Last updated2007-07
Enumerated2006-10-19
StatusActive
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