Somer Jackson

Peer Specialist · Poplar Bluff, MO

Individual Active NPI

NPI number 1760191803

Practice location

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone
(573) 686-1200

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NPI record

NPI
1760191803
Entity type
Individual (Type 1)
Enumeration date
November 17, 2022
Last updated
September 20, 2024
Certified
September 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 15674 MO
Behavior Technician 106S00000X — —

About Somer Jackson

Somer Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 3001 Warrior Ln, Poplar Bluff, MO 63901-8685. The NPI number 1760191803 was assigned on November 17, 2022 and the record was last updated on September 20, 2024.

Somer Jackson lists a license in the registry: #15674 (MO) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Somer Jackson?

The NPI number is 1760191803.

What is the phone number of Somer Jackson?

The phone number listed for the practice location is (573) 686-1200.

Where is Somer Jackson located?

3001 Warrior Ln, Poplar Bluff, MO 63901-8685.

What is the taxonomy code for Somer Jackson?

The primary taxonomy code is 175T00000X – Peer Specialist; 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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