CAMILLE JEWELL JACKSON NPI 1558996132

NPI Information

  • NPI: 1558996132
  • Provider Name: CAMILLE JEWELL JACKSON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 8181 N WAYNE RD APT S2147
    WESTLAND, MI
    ZIP 48185
  • Phone: (313) 529-0006

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NPI Details

Camille Jewell Jackson is a peer specialist in Westland, MI. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Camille Jewell Jackson NPI is 1558996132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8181 N WAYNE RD APT S2147
WESTLAND, MI
ZIP 48185-842
Phone: (313) 529-0006

The enumeration date for this NPI number is 3/4/2020 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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