What is Shannon Jackson's NPI number?

Shannon Jackson's National Provider Identifier (NPI) is 1265289078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Jackson's specialty?

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

Where is Shannon Jackson located?

Shannon Jackson's practice location on file with NPPES is 1044 Gilbert St, Flint, MI 48532-3527.

What is Shannon Jackson's phone number?

The practice phone number listed in the NPPES registry for Shannon Jackson is (810) 422-9406.

Is Shannon Jackson's NPI active?

Yes — Shannon Jackson's NPI (1265289078) is active in the NPPES registry as of the last update on 2025-09-15.

IndividualActive

Shannon Jackson, CPRC, CCAR

NPI 1265289078 · Peer Specialist · Flint, MI

Shannon Jackson, CPRC, CCAR is a Peer Specialist provider in Flint, MI (NPI 1265289078).

Provider details

NPI number: 1265289078
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: CPRC, CCAR
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(50/100 index)

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

Registry tenure38% of score
2 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

1044 Gilbert St

Flint, MI 48532-3527

Phone: (810) 422-9406

Street-level locationGet directions

More MI providers

Mailing address