Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA NOELLE JACKSON, PHARMD
ActivePharmacist · DPO, AA
Registration Details
- NPI Number
- 1023757192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2022 (3.9666584729917 yrs)
- Last Updated
- Jul 5, 2022
- License
-
62552 (FL)
Practice Information
- Address
-
MOODY AIRFORCE BASEBEMISS ROADDPO, AA, 31699Browse AA providers · Browse ZIP 31699
- Phone
- 2292574211
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.