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

MRS. MARISSA CAYENNE JACKSON

Active Sole Proprietor

MRS. MARISSA CAYENNE JACKSON is a Doula healthcare provider located in CARBONDALE, Illinois. NPI 1093697666 is currently active in the NPPES registry. Verify at CMS.

Doula · CARBONDALE, IL

Registration Details

NPI Number
1093697666
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2025 (1.0180807041558 yrs)
Last Updated
Jul 23, 2025
License
MJ25 (IL)
Sole Proprietor
Yes

Practice Information

Address
212 S UNIVERSITY AVE
CARBONDALE, IL, 629012925
Browse IL providers · Browse ZIP 62901
Phone
6185349222
Primary Specialty
Doula
374J00000X

Other Doula Providers in CARBONDALE, IL

Name Credential NPI
REBECCA KONECEK CD 1780042267
CHASTITY K MAYS CD(DONA0 1073213229
TARINA RAECHEL YATES B.A.S., CD(DONA) 1770273880
CANDACE AKINTOLA CD 1538953666
GLORIA QUERIAPA-VALDES BAS, CD (DONA) 1730055302
MRS. DOMINEAK SHANTA MILLER DOULA 1215807797
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.