IndividualActive
Cassandra Jackson
NPI 1861114456 · Peer Specialist · Rio Rancho, NM
Provider details
- NPI number
- 1861114456
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1460 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
4100 Barbara Loop Se
Rio Rancho, NM 87124-1000
Phone: (505) 702-8547
Approximate (ZIP-level) locationGet directions
Mailing address
4916 Hayworth Hills Dr Ne
Rio Rancho, NM 87144-8667
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.