Lee Jackson
Peer Specialist · Berea, OH
NPI number
1336092048
Practice location
343 W Bagley RdBerea, OH 44017-1370
- Phone
- (440) 260-6835
NPI record
- NPI
- 1336092048
- Entity type
- Individual (Type 1)
- Enumeration date
- February 20, 2026
- Last updated
- February 20, 2026
- Certified
- February 20, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Lee Jackson
Lee Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 343 W Bagley Rd, Berea, OH 44017-1370. The NPI number 1336092048 was assigned on February 20, 2026 and the record was last updated on February 20, 2026.
Frequently asked questions
What is the NPI number of Lee Jackson?
The NPI number is 1336092048.
What is the phone number of Lee Jackson?
The phone number listed for the practice location is (440) 260-6835.
Where is Lee Jackson located?
343 W Bagley Rd, Berea, OH 44017-1370.
What is the taxonomy code for Lee Jackson?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Peer Specialist providers in Berea
- Matthew Seip872 Bryant Ave Apt C
- Stephen James Sidoti70 Baker St
- David Lashore Thomas55 W Bagley Rd
- Kenneth James Kerns III, PRS434 Eastland Rd