Holli Vern Jackson, MSW

Clinical Social Worker · Bethel, AK

Individual Active NPI

NPI number 1699100511

Practice location

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone
(907) 543-6100
Fax
(907) 543-6159

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NPI record

NPI
1699100511
Entity type
Individual (Type 1)
Enumeration date
September 10, 2013
Last updated
November 20, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —
Clinical Social Worker 1041C0700X 27403 CA

Mailing address

PO Box 528
Bethel, AK 99559-0528
Phone
(907) 546-6100
Fax
(907) 543-6159

About Holli Jackson

Holli Vern Jackson, MSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559. The NPI number 1699100511 was assigned on September 10, 2013 and the record was last updated on November 20, 2019.

Holli Jackson lists a license in the registry: #27403 (CA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Holli Vern Jackson, MSW?

The NPI number is 1699100511.

What is the phone number of Holli Jackson?

The phone number listed for the practice location is (907) 543-6100.

Where is Holli Jackson located?

829 Chief Eddie Hoffman Hwy, Bethel, AK 99559.

What is the taxonomy code for Holli Jackson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

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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