What is Jessie Jackson's NPI number?

Jessie Jackson's National Provider Identifier (NPI) is 1104908417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jessie Jackson's specialty?

Jessie Jackson is listed in the NPPES registry with a primary specialty of Child Mental Illness Respite Care (Respite Care Facility).

Where is Jessie Jackson located?

Jessie Jackson's practice location on file with NPPES is 9855 E Irvington Rd, Tucson, AZ 85730-5220.

What is Jessie Jackson's phone number?

The practice phone number listed in the NPPES registry for Jessie Jackson is (520) 733-1165.

Is Jessie Jackson's NPI active?

Yes — Jessie Jackson's NPI (1104908417) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Jessie Jackson

NPI 1104908417 · Child Mental Illness Respite Care · Tucson, AZ

Jessie Jackson is a Child Mental Illness Respite Care provider in Tucson, AZ (NPI 1104908417).

Provider details

NPI number: 1104908417
Entity type: Individual
Primary specialty: Child Mental Illness Respite CareRespite Care Facility
Sex: Female
Sole proprietor: Yes
License: 3923 (AZ)

Specialties & taxonomies

Child Mental Illness Respite CarePrimary385HR2055XLicense 3923 (AZ)
Respite Care Facility

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9855 E Irvington Rd

Unit #82

Tucson, AZ 85730-5220

Phone: (520) 733-1165

Fax: (520) 733-1165

Street-level locationGet directions

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Mailing address