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

Jamaal Jackson

Individual provider Peer Specialist · NPI 1770113367

Jamaal Jackson is a Peer Specialist in Monroe, Louisiana. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4310 S Grand St
Monroe, LA 71202-6322
Phone: (318) 789-9436
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 number1770113367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address8326 Kelwood Ave, Baton Rouge, LA 70806-4803

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