Individual provider · Type 1 NPI

Shanean L. Jackson

Peer Specialist · Vancouver, WA

NPI number 1427894203 Active

About NPI 1427894203

Shanean L. Jackson's National Provider Identifier is 1427894203, issued on Jul 2, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 26, 2026.