Joann Michelle Jackson PSY.D.

  • NPI 1194739904
According to our database, the NPI number for Joann Michelle Jackson PSY.D. is 1194739904 and activated since 17 years ago. Joann Michelle Jackson PSY.D. is an individual provider who specializes in Psychologist, and the primary practice location is 403 E Madison St, South Bend, IN 46617. You can also contact Joann Michelle Jackson PSY.D. via telephone number is (574) 533-1234. Provider NPI information was last updated on 09/27/2010.

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Overview of Joann Michelle Jackson PSY.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/28/2006
  • Last updated: 09/27/2010

Primary Scrop of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 20040982A
  • License State: IN

Provider Mailing Address

  • Address: 330 Lakeview Dr
    Goshen, IN 46528
  • Phone: 574-533-1234
  • Fax: 574-537-2652

Provider Practice Location

  • Address: 403 E Madison St
    South Bend, IN 46617
  • Phone: 574-533-1234
  • Fax: 574-537-2652

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 20040982A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 200200700A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Joann Michelle Jackson PSY.D.?
  • A: The npi number for Joann Michelle Jackson PSY.D. is 1194739904.
  • Q: What are Joann Michelle Jackson PSY.D.'s specialties?
  • A: Joann Michelle Jackson PSY.D.'s specialties are Psychologist and different specialities.
  • Q: What is the medical license for Joann Michelle Jackson PSY.D.?
  • A: The medical license number for Joann Michelle Jackson PSY.D. is 20040982A and issued in IN in USA.
  • Q: Where is Joann Michelle Jackson PSY.D. practice location?
  • A: Joann Michelle Jackson PSY.D. is practicing at 403 E Madison St, South Bend, IN 46617.
  • Q: How to contact Joann Michelle Jackson PSY.D.?
  • A: You can contact Joann Michelle Jackson PSY.D. via 574-533-1234.
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