Individual provider · Type 1 NPI
Deanna Jackson
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1548055239
Active
Practice location
164 N Peoria St Apt 2101
Chicago, IL 60607-2368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209032018 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548055239
Deanna Jackson's National Provider Identifier is 1548055239, issued on Apr 12, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Apr 12, 2025.