Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deanna Nicole Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710831342

Deanna Nicole Jackson is an Addiction (Substance Use Disorder) Counselor in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026
Specialties on file
3

Practice location Address checks out

2112 N Roan St
Johnson City, TN 37601-2519
Phone: (423) 202-7426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8655 (TN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (TN)
Counselor Taxonomy 101Y00000X (TN)

Record details

NPI number1710831342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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