Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MARIE JACKSON, L.M.T.
Active Sole ProprietorJENNIFER MARIE JACKSON, L.M.T. is a Specialist healthcare provider located in COCOA, Florida. NPI 1104832898 is currently active in the NPPES registry. Verify at CMS.
Specialist · COCOA, FL
Registration Details
- NPI Number
- 1104832898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2006 (20.014593365719 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA #14350 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1553 N COCOA BLVDCOCOA, FL, 329226933Browse FL providers · Browse ZIP 32922
- Phone
- 3216345710
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in COCOA, FL
| Name | Credential | NPI |
|---|---|---|
| CHARLENE JARVIS | — | 1851401871 |
| JANET ELAINE MILEY | M.D. | 1518189299 |
| VICKIE JANELL ALLEN | LMT | 1437308574 |
| CYNTHIA L FREEMAN | DME | 1861082513 |
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.