Phannong Jackson, MFTI
NPI 1447474382 · Marriage & Family Therapist · Stockton, CA
Phannong Jackson, MFTI is a Marriage & Family Therapist provider in Stockton, CA (NPI 1447474382).
Provider details
- NPI number
- 1447474382
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MFTI
- Sex
- Female
- Sole proprietor
- No
- License
- IMF41435 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phannong Jackson's NPI number?
- Phannong Jackson's National Provider Identifier (NPI) is 1447474382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phannong Jackson's specialty?
- Phannong Jackson is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Phannong Jackson located?
- Phannong Jackson's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.
- What is Phannong Jackson's phone number?
- The practice phone number listed in the NPPES registry for Phannong Jackson is (209) 468-8700.
- Is Phannong Jackson's NPI active?
- Yes — Phannong Jackson's NPI (1447474382) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.