Individual provider · Type 1 NPI

Marissa Cayenne Jackson

Doula · Cairo, IL

NPI number 1093697666 Active

About NPI 1093697666

Marissa Cayenne Jackson's National Provider Identifier is 1093697666, issued on Jul 23, 2025. The primary taxonomy on file is Doula (374J00000X), and the practice location is in Cairo, IL. The record was last updated on Sep 29, 2026.