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

Gregg Jackson

Individual provider Peer Specialist · NPI 1649090002

Gregg Jackson is a Peer Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5916 SE 67th St
Oklahoma City, OK 73135-1738
Phone: (314) 526-6884
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1649090002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

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