Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIELLE ELYSE JACKSON
Active Sole ProprietorGABRIELLE ELYSE JACKSON is a Occupational Therapist healthcare provider located in SULLIVAN, Illinois. NPI 1982333472 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SULLIVAN, IL
Registration Details
- NPI Number
- 1982333472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2022 (4.0345760048936 yrs)
- Last Updated
- Jun 9, 2022
- License
-
160.007936 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 MASONIC WAYSULLIVAN, IL, 619519467Browse IL providers · Browse ZIP 61951
- Phone
- 2177283700
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SULLIVAN, IL
| Name | Credential | NPI |
|---|---|---|
| LINDSEY LEFEVER | PTA | 1871116921 |
| CATHERINE LUCILLE REEL | — | 1457023830 |
| CARSEN EVANS | — | 1285385971 |
| CASSI UPTON | — | 1295487460 |
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.