IndividualActive
Marissa Jackson
NPI 1093697666 · Doula · Carbondale, IL
Marissa Jackson is a Doula provider in Carbondale, IL (NPI 1093697666).
Provider details
- NPI number
- 1093697666
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MJ25 (IL)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
212 S University Ave
Carbondale, IL 62901-2925
Phone: (618) 534-9222
Street-level locationGet directions
Mailing address
1412 Mounds Rd
Mounds, IL 62964-2305
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Marissa Jackson's NPI number?
- Marissa Jackson's National Provider Identifier (NPI) is 1093697666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Jackson's specialty?
- Marissa Jackson is listed in the NPPES registry with a primary specialty of Doula (Nursing Service Related Providers).
- Where is Marissa Jackson located?
- Marissa Jackson's practice location on file with NPPES is 212 S University Ave, Carbondale, IL 62901-2925.
- What is Marissa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Marissa Jackson is (618) 534-9222.
- Is Marissa Jackson's NPI active?
- Yes — Marissa Jackson's NPI (1093697666) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.