What is Spencer Jackson's NPI number?

Spencer Jackson's National Provider Identifier (NPI) is 1164185484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Spencer Jackson's specialty?

Spencer Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Spencer Jackson located?

Spencer Jackson's practice location on file with NPPES is 109 N Fairland St, Pryor, OK 74361-4205.

What is Spencer Jackson's phone number?

The practice phone number listed in the NPPES registry for Spencer Jackson is (918) 825-1405.

Is Spencer Jackson's NPI active?

Yes — Spencer Jackson's NPI (1164185484) is active in the NPPES registry as of the last update on 2021-10-14.

IndividualActive

Spencer Jackson

NPI 1164185484 · Peer Specialist · Pryor, OK

Spencer Jackson is a Peer Specialist provider in Pryor, OK (NPI 1164185484).

Provider details

NPI number: 1164185484
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

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

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% 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

109 N Fairland St

Pryor, OK 74361-4205

Phone: (918) 825-1405

Street-level locationGet directions

More OK providers

Mailing address