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

Jaylisa Jackson

Individual provider Peer Specialist · NPI 1699610139

Jaylisa Jackson is a Peer Specialist in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2026.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1395 E Dublin Granville Rd Ste 222K
Columbus, OH 43229-3338
Phone: (614) 896-6003
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OH)

Record details

NPI number1699610139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address7036 Sawmill Village Dr, Columbus, OH 43235-4997

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