Search › Florida › 101YS0200X
Jennifer Jackson, MA
NPI 1285366898 · on the registry since 2022
Practice
- Address
- 5671 Ellis Trace Dr
Jacksonville, FL 32205 - Phone
- (904) 440-8955
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Also registered as
- 101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida