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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANNETTE JACKSON

Active Sole Proprietor

JESSICA ANNETTE JACKSON is a Occupational Therapy Assistant healthcare provider located in SAN RAFAEL, California. NPI 1639534993 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SAN RAFAEL, CA

Registration Details

NPI Number
1639534993
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2015 (10.440377355914 yrs)
Last Updated
Feb 20, 2020
Sole Proprietor
Yes

Practice Information

Address
4020 CIVIC CENTER DR
SAN RAFAEL, CA, 949034173
Browse CA providers · Browse ZIP 94903
Phone
4154912548
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in SAN RAFAEL, CA

Name Credential NPI
IRENE GRACE BIRCH M.S. 1982748588
ALBERT L HARRISON 1265683023
NANCY MANCIAS 1235453770
MS. CRISTHAL D. BENNETT M.DIV 1073812327
TEJA JONES 1003276155
HENRY COLBERT 1033572771
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.