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

MS. Shannon M Jackson, CPRC, CCAR

Individual provider Peer Specialist · NPI 1265289078

MS. Shannon M Jackson, CPRC, CCAR is a Peer Specialist in Flint, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1044 Gilbert St
Flint, MI 48532-3527
Phone: (810) 422-9406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1265289078
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPRC , CCAR
Sole proprietorNo
NPI enumeratedMay 1, 2024
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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