MS. CHEVON JACKSON MSW NPI 1740767649

NPI Information

NPI: 1740767649
Provider Name: MS. CHEVON JACKSON, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 337-8164
Get Directions

MS. Chevon Jackson, MSW is a mental health counselor in Port St Lucie, FL. MS. Chevon Jackson, MSW NPI is 1740767649. 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:

525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL
ZIP 34986-605
Phone: (772) 337-8164
Fax: (772) 337-8165

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.

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	101YM0800X	Counselor	Mental Health	10018	FLORIDA	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »