Jackson, Jennifer Marie

Jackson, Jennifer Marie is an sole proprietor health care provider with primary practice located at 1553 N Cocoa Blvd , Cocoa FL 32922-6933. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jackson, Jennifer Marie can be contacted via phone (321) 634-5710.

Contact Information

Primary practice address
1553 N Cocoa Blvd Cocoa FL 32922-6933
Phone: (321) 634-5710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA #14350 Florida

Profile Details

NPI number 1104832898
LBN Legal business name Jackson, Jennifer Marie
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
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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