Individual provider · Type 1 NPI
Jennifer Jackson
Speech-Language Assistant · Bolingbrook, IL
NPI number
1407461163
Active
Practice location
149 Flagstaff Dr
Bolingbrook, IL 60440-2657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
About NPI 1407461163
Jennifer Jackson's National Provider Identifier is 1407461163, issued on Sep 10, 2020. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Bolingbrook, IL. The record was last updated on Sep 10, 2020.