Anaiya Jackson

NPI 1376259523 · on the registry since 2023

Practice

Address: 425 W Washington St Ste 4
Suffolk, VA 23434
Phone: (757) 974-0972
Organisation at this address: Ally Aba
Dream Bigger Aba Llc
Horizon Blue Aba Va Llc
Waterside Psychiatry Llc
Heroic Mental Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia