Jackson, Jennifer Rosemary

Jackson, Jennifer Rosemary is an individual health care provider with primary practice located at 5671 Ellis Trace Dr , Jacksonville FL 32205-6135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Jackson, Jennifer Rosemary can be contacted via phone (904) 440-8955.

Contact Information

Primary practice address
5671 Ellis Trace Dr Jacksonville FL 32205-6135
Phone: (904) 440-8955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 22539 Florida
Behavioral Health & Social Service Providers / School 101YS0200X 942538 Florida

Profile Details

NPI number 1285366898
LBN Legal business name Jackson, Jennifer Rosemary
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2022
Last updated Jun 30th, 2022 - about 2 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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