SearchNew Jersey174H00000X

Jessica Jackson, ATC

NPI 1336572726 · on the registry since 2013 · sole proprietor

Practice

Address
492 Naughright Rd
Long Valley, NJ 07853
Phone
(908) 358-5024

Registry record

Primary taxonomy
174H00000X
174H00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-20

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 New Jersey