Individual provider · Type 1 NPI

Paul Jackson

Peer Specialist · Omaha, NE

NPI number 1376014555 Active

Practice location

11550 I St Ste 100
Omaha, NE 68137-1222

Fax (402) 493-3340

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1376014555

Paul Jackson's National Provider Identifier is 1376014555, issued on Dec 16, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Omaha, NE. The record was last updated on Dec 16, 2018.