Individual provider · Type 1 NPI

Jessica Annette Jackson

Rehabilitation Practitioner · San Rafael, CA

NPI number 1639534993 Active

Practice location

4020 Civic Center Dr
San Rafael, CA 94903-4173

Call (415) 491-2548 Map

Mailing address

601 Russell St
Vallejo, CA 94591-6543

Other practice locations

  • 601 Russell St, Vallejo, CA 94591-6543 · (415) 573-6902

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1639534993

Jessica Annette Jackson's National Provider Identifier is 1639534993, issued on Dec 30, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Rafael, CA. The record was last updated on Feb 20, 2020.