Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER JACKSON
Active Sole ProprietorJENNIFER JACKSON is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in BOLINGBROOK, Illinois. NPI 1407461163 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1407461163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2020 (5.9554986514378 yrs)
- Last Updated
- Sep 10, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
149 FLAGSTAFF DRBOLINGBROOK, IL, 604402657Browse IL providers · Browse ZIP 60440
- Phone
- 7085153537
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
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.