Individual provider · Type 1 NPI

Jaylisa Jackson

Peer Specialist · Columbus, OH

NPI number 1699610139 Active

Practice location

1395 E Dublin Granville Rd Ste 222K
Columbus, OH 43229-3338

Mailing address

7036 Sawmill Village Dr
Columbus, OH 43235-4997

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 1699610139

Jaylisa Jackson's National Provider Identifier is 1699610139, issued on Apr 21, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Apr 21, 2026.