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

Zannie Roy Jackson Jr., PEERSUPPORTSPECIAL

Individual provider Peer Specialist · NPI 1568084861

Zannie Roy Jackson Jr., PEERSUPPORTSPECIAL is a Peer Specialist in Livonia, Michigan. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

36801 Ann Arbor Trl
Livonia, MI 48150-3422
Phone: (313) 728-1884
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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 number1568084861
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORTSPECIAL
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

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