Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARCUS S JACKSON SR.
Active Sole ProprietorMR. MARCUS S JACKSON SR. is a Emotionally Disturbed Children Residential Treatment healthcare provider located in PENSACOLA, Florida. NPI 1336767128 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · PENSACOLA, FL
Registration Details
- NPI Number
- 1336767128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2020 (6.1490096902393 yrs)
- Last Updated
- Jul 8, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5615 SHELL RDPENSACOLA, FL, 325037825Browse FL providers · Browse ZIP 32503
- Phone
- 8507916604
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.