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

Ernest Jackson, CPRS

Individual provider Peer Specialist · NPI 1659012797

Ernest Jackson, CPRS is a Peer Specialist in Galloway, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

76 W Jimmie Leeds Rd Ste 402
Galloway, NJ 08205-9400
Phone: (609) 573-5260
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CPRS-50229 (NJ)

Record details

NPI number1659012797
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022
Mailing address700 W Park Ave, Pleasantville, NJ 08232-4360

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