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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JACKSON

Active

MARY JACKSON is a Occupational Therapist healthcare provider located in RALEIGH, North Carolina. NPI 1053777888 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RALEIGH, NC

Registration Details

NPI Number
1053777888
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2016 (10.553557661441 yrs)
Last Updated
Jul 29, 2025
Licenses
OC020803 (PA)
13329 (NC)

Practice Information

Address
316 SHEPHERD ST
RALEIGH, NC, 276074032
Browse NC providers · Browse ZIP 27607
Phone
9192195653
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in RALEIGH, NC

Name Credential NPI
MRS. PAMELA MARY TUTTEN OT, CHT 1558368118
LAURA A. BEAVER OT 1265418123
MRS. SHANNON HOLT OT 1275503153
MRS. MICHELLE RENEE SYDNOR OTR/L, CHT 1790755619
CARROLL FERNSTROM OT 1588631279
NANDITA GARG OTR/L 1275501462
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.