Russell Neilend Jackson, PHD - Psychologist in Columbia, MO

Russell Neilend Jackson, PHD is a Psychologist - Counseling based in Columbia, Missouri. Russell Neilend Jackson is licensed to practice in Missouri (license number 2021011992) and his current practice location is 414 E Broadway Ste 201a, Columbia, Missouri. He can be reached at his office (for appointments etc.) via phone at (515) 460-0047.

NPI number for Russell Neilend Jackson is 1598426884 and his current mailing address is 1609 Woodmoor Ct, Columbia, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598426884.

Contact Information

Russell Neilend Jackson, PHD
414 E Broadway Ste 201a,
Columbia, MO 65201-4489
(515) 460-0047
Not Available



Healthcare Provider's Profile

Full NameRussell Neilend Jackson
GenderMale
SpecialityPsychologist - Counseling
Location414 E Broadway Ste 201a, Columbia, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598426884
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 01/07/2022

Medical Identifiers

Medical identifiers for Russell Neilend Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598426884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 2021011992 (Missouri)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. Russell Neilend 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 AddressPractice Location Address
Russell Neilend Jackson, PHD
1609 Woodmoor Ct,
Columbia, MO 65202-3868

Ph: () -
Russell Neilend Jackson, PHD
414 E Broadway Ste 201a,
Columbia, MO 65201-4489

Ph: (515) 460-0047

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› Verified 6 days ago


Psychologist in Columbia, MO

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Practice Location: 211 S 8th St, Columbia, MO 65211
Phone: 573-882-4677    Fax: 573-882-4583
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