Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA LOUSIE JACKSON
Active Sole ProprietorMELISSA LOUSIE JACKSON is a Neuromusculoskeletal Medicine & OMM healthcare provider located in SCARBOROUGH, Maine. NPI 1497064695 is currently active in the NPPES registry. Verify at CMS.
Neuromusculoskeletal Medicine & OMM · SCARBOROUGH, ME
Registration Details
- NPI Number
- 1497064695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2010 (15.890372101727 yrs)
- Last Updated
- Oct 5, 2010
- License
-
MT3643 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 VICTORY LNSCARBOROUGH, ME, 040748486Browse ME providers · Browse ZIP 04074
- Phone
- 2079397627
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
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.