What is Patrice Jackson's NPI number?

Patrice Jackson's National Provider Identifier (NPI) is 1790373801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Patrice Jackson's specialty?

Patrice Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Patrice Jackson located?

Patrice Jackson's practice location on file with NPPES is 3300 36th St Se, Grand Rapids, MI 49512-2810.

What is Patrice Jackson's phone number?

The practice phone number listed in the NPPES registry for Patrice Jackson is (616) 942-2110.

Is Patrice Jackson's NPI active?

Yes — Patrice Jackson's NPI (1790373801) is active in the NPPES registry as of the last update on 2025-02-14.

IndividualActive

Patrice Jackson

NPI 1790373801 · Behavior Technician · Grand Rapids, MI

Patrice Jackson is a Behavior Technician provider in Grand Rapids, MI (NPI 1790373801).

Provider details

NPI number: 1790373801
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

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

Registry tenure38% of score
5 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

3300 36th St Se

Grand Rapids, MI 49512-2810

Phone: (616) 942-2110

Street-level locationGet directions

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Mailing address