Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE NICHOLE JACKSON, COTA
ActiveMS. JACQUELINE NICHOLE JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in CALLAWAY, Florida. NPI 1285127506 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CALLAWAY, FL
Registration Details
- NPI Number
- 1285127506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2018 (8.1895462922537 yrs)
- Last Updated
- Jun 12, 2018
- License
-
OTA15305 (FL)
Practice Information
- Address
-
626 N TYNDALL PKWYCALLAWAY, FL, 324046132Browse FL providers · Browse ZIP 32404
- Phone
- 8508716363
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CALLAWAY, FL
| Name | Credential | NPI |
|---|---|---|
| ALLISON BLACKSTOCK | — | 1356899280 |
| LEONARDO TARULLI | COTA | 1801348966 |
| ADRIAN MILEY | — | 1952096752 |
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.