Individual provider · Type 1 NPI

Tiffany Jackson

Peer Specialist · Dayton, OH

NPI number 1881555209 Active

Practice location

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Mailing address

PO Box 932944
Cleveland, OH 44193-0027

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XAPS.005097 (OH)

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 1881555209

Tiffany Jackson's National Provider Identifier is 1881555209, issued on Nov 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dayton, OH. The record was last updated on Nov 24, 2025.