Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS IDA OLIVIA JACKSON, LAC, LMT
ActiveMISS IDA OLIVIA JACKSON, LAC, LMT is a Acupuncturist healthcare provider located in KIRKWOOD, Missouri. NPI 1184022659 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · KIRKWOOD, MO
Registration Details
- NPI Number
- 1184022659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2014 (11.676145431372 yrs)
- Last Updated
- Dec 15, 2014
- License
-
2013032932 (MO)
Practice Information
- Address
-
103 N TAYLOR AVESUITE BKIRKWOOD, MO, 631224360Browse MO providers · Browse ZIP 63122
- Phone
- 3146232302
- Primary Specialty
-
Acupuncturist
171100000X
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.