SearchIndiana106S00000X

Jazmine Jackson

NPI 1659182418 · on the registry since 2025 · sole proprietor

Practice

Address
4417 W 24th Ave
Gary, IN 46404
Phone
(219) 688-6985

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-26

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 Indiana