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

LISA D JACKSON

Active Sole Proprietor

LISA D JACKSON is a Health & Wellness Coach healthcare provider located in CLINTON, Maryland. NPI 1124834858 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · CLINTON, MD

Registration Details

NPI Number
1124834858
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2024 (1.7166238981742 yrs)
Last Updated
Dec 7, 2024
Sole Proprietor
Yes

Practice Information

Address
9134 PISCATAWAY RD UNIT 371
CLINTON, MD, 207357615
Browse MD providers · Browse ZIP 20735
Phone
2404445976
Primary Specialty
Health & Wellness Coach
171400000X
Additional Specialty
Health & Wellness Coach

Other Health & Wellness Coach Providers in CLINTON, MD

Name Credential NPI
TERRY NEWTON 1508546318
MRS. JESSICA ARELY GAMERO 1528827953
MRS. PRESTON ALEXANDRA HEITSTUMAN 1669231007
JACQUELINE YESSENIA GONZALEZ 1942069307
BILQIIS SHEIKH-ISSA 1780443093
TAMARA CUNNINGHAM-MYERS 1780493379
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.