Jayly Jermayne Jackson, in Anchorage, AK - Community Health Worker

Jayly Jermayne Jackson, is a Community Health Worker based in Anchorage, Alaska. Jayly Jermayne Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 3801 University Lake Dr Ste 205, Anchorage, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 729-2492.

NPI number for Jayly Jermayne Jackson is 1114698818 and his current mailing address is 3801 University Lake Dr, Anchorage, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114698818.

Contact Information

	Jayly Jermayne Jackson,
	3801 University Lake Dr Ste 205, Anchorage, AK 99508-4658
	(907) 729-2492
	(907) 729-3950

Healthcare Provider's Profile

Full Name	Jayly Jermayne Jackson
Gender	Male
Speciality	Community Health Worker
Location	3801 University Lake Dr Ste 205, Anchorage, Alaska
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114698818
Provider Enumeration Date: 09/22/2021
Last Update Date: 01/31/2023

Medical Identifiers

Medical identifiers for Jayly Jermayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114698818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
172V00000X	Community Health Worker	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jayly Jermayne Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jayly Jermayne Jackson, 3801 University Lake Dr, Anchorage, AK 99508-4658 Ph: (907) 729-2492	Jayly Jermayne Jackson, 3801 University Lake Dr Ste 205, Anchorage, AK 99508-4658 Ph: (907) 729-2492

News Archive

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Jayly Jermayne Jackson, - Counselor in Anchorage, AK