Petrina Jackson, M.S., CCC-SLP
NPI 1952476822 · Speech-Language Pathologist · Blue Island, IL
Petrina Jackson, M.S., CCC-SLP is a Speech-Language Pathologist provider in Blue Island, IL (NPI 1952476822).
Provider details
- NPI number
- 1952476822
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing 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
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
Mailing address
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Petrina Jackson's NPI number?
- Petrina Jackson's National Provider Identifier (NPI) is 1952476822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Petrina Jackson's specialty?
- Petrina Jackson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Petrina Jackson located?
- Petrina Jackson's practice location on file with NPPES is 12224 Fairway Cir, Blue Island, IL 60406-3611.
- What is Petrina Jackson's phone number?
- The practice phone number listed in the NPPES registry for Petrina Jackson is (708) 824-9524.
- Is Petrina Jackson's NPI active?
- Yes — Petrina Jackson's NPI (1952476822) 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.