NADINE YVETTE JACKSON CASAC NPI 1740703560

NPI Information

NPI: 1740703560
Provider Name: NADINE YVETTE JACKSON, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1751 PARK AVE
NEW YORK, NY
ZIP 10035
Phone: (212) 991-4994
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Nadine Yvette Jackson, CASAC is an addiction (substance use disorder) counselor in New York, NY. Nadine Yvette Jackson, CASAC NPI is 1740703560. 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:

1751 PARK AVE
NEW YORK, NY
ZIP 10035-809
Phone: (212) 991-4994
Fax: (212) 414-1431

The enumeration date for this NPI number is 7/24/2017 and was last updated on 7/24/2017.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2-11436	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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