Amanda Renee Jackson
Social Worker · Antioch, IL
NPI number
1487019451
Practice location
General DeliveryAntioch, IL 60002-9999
- Phone
- (262) 269-4996
NPI record
- NPI
- 1487019451
- Entity type
- Individual (Type 1)
- Enumeration date
- December 17, 2015
- Last updated
- December 17, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X |
— | — |
Mailing address
317 Park AveUnit 1
Antioch, IL 60002-1516
- Phone
- (262) 269-4996
About Amanda Jackson
Amanda Renee Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is General Delivery, Antioch, IL 60002-9999. The NPI number 1487019451 was assigned on December 17, 2015 and the record was last updated on December 17, 2015.
Frequently asked questions
What is the NPI number of Amanda Renee Jackson?
The NPI number is 1487019451.
What is the phone number of Amanda Jackson?
The phone number listed for the practice location is (262) 269-4996.
Where is Amanda Jackson located?
General Delivery, Antioch, IL 60002-9999.
What is the taxonomy code for Amanda Jackson?
The primary taxonomy code is 104100000X – Social Worker.
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.
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