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

Jimmie Lee Jackson Jr.

Individual provider Peer Specialist · NPI 1124513783

Jimmie Lee Jackson Jr. is a Peer Specialist in San Diego, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110
Phone: (619) 398-0355
Show map & directions

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

Additional practice locations (1)

  • 1202 Morena Blvd Ste 300, San Diego, CA 92110-3844 — (619) 275-0822

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124513783
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJuly 2, 2018

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