# MS. JOHANNA B. JACKSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386078509
- **Gender:** F
- **Credential:** S.S.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | 207262 | SC | Yes |

## Other

- **Enumeration date:** 08/23/2013
- **Last updated:** 08/23/2013