Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jasmine E Jackson

Physician β€’ Memphis, TN

Deactivated NPI 1821613571 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3165 Overton Crossing St
Memphis, TN 381276522

Phone: 9013370672

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published. The records below are historical. They do not show whether Jasmine Jackson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 09, 2020
NPI Deactivation Date July 06, 2023
NPI Active Period 2020 – 2023

Practice Location & Contact Primary Location

Practice Address

3165 Overton Crossing St

Memphis, TN 381276522

Telephone 9013370672
Fax 9013893716
Organization at the Same NPPES Address or Phone
Home Opportunity Placement Assistant 4 Living Care Llc Facility NPI 1134839186

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Memphis and Tennessee

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 06, 2023

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published.

βœ…
NPI Profile Active June 09, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2020

Registered at 3165 OVERTON CROSSING ST, MEMPHIS, TN 381276522 (Tel: 9013370672)

πŸ“
Business Mailing Address (Initial Record) June 09, 2020

Registered at PO BOX 27473, MEMPHIS, TN 381670473 (Tel: 9013370672)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2020

Recorded as JASMINE JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2020

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟒
Initial NPI Registration & Enumeration June 09, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1821613571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2020
Last Update: June 09, 2020
Deactivation Date: July 06, 2023

Mailing Address

Po Box 27473

Memphis, TN 381670473

Phone: 9013370672

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.