Individual provider · Type 1 NPI
Jennifer Marie Jackson, L.M.T.
Specialist · Cocoa, FL
NPI number
1104832898
Active
Practice location
1553 N Cocoa Blvd
Cocoa, FL 32922-6933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA #14350 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Cocoa
About NPI 1104832898
Jennifer Marie Jackson, L.M.T.'s National Provider Identifier is 1104832898, issued on Aug 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cocoa, FL. The record was last updated on Jul 8, 2007.