IndividualActive
Tyler Jackson
NPI 1558242008 · Peer Specialist · Jacksonville, FL
Tyler Jackson is a Peer Specialist provider in Jacksonville, FL (NPI 1558242008).
Provider details
- NPI number
- 1558242008
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3625 University Blvd S
Jacksonville, FL 32216-4222
Phone: (904) 702-6156
Street-level locationGet directions
Mailing address
555 Stockton St
Jacksonville, FL 32204-2534
Registry dates
- Enumerated
- 2025-09-10
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Tyler Jackson's NPI number?
- Tyler Jackson's National Provider Identifier (NPI) is 1558242008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Jackson's specialty?
- Tyler Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Tyler Jackson located?
- Tyler Jackson's practice location on file with NPPES is 3625 University Blvd S, Jacksonville, FL 32216-4222.
- What is Tyler Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tyler Jackson is (904) 702-6156.
- Is Tyler Jackson's NPI active?
- Yes — Tyler Jackson's NPI (1558242008) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.