Jackson, Jennifer Brockman
Jackson, Jennifer Brockman is an sole proprietor health care provider with primary practice located at 4101 28Th Ave N , Saint Petersburg FL 33713-2230. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Jennifer Brockman can be contacted via phone (727) 527-0703.Contact Information
Primary practice address
4101 28Th Ave N
Saint Petersburg FL 33713-2230
Phone: (727) 527-0703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT9272 | Florida |
Profile Details
| NPI number | 1679792501 |
|---|---|
| LBN Legal business name | Jackson, Jennifer Brockman |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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