IndividualActive
Jacob Jackson, L.AC
NPI 1104786920 · Acupuncturist · Ellicott City, MD
Jacob Jackson, L.AC is a Acupuncturist provider in Ellicott City, MD (NPI 1104786920).
Provider details
- NPI number
- 1104786920
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.AC
- Sex
- Male
- Sole proprietor
- Yes
- License
- U03217 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 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
3525 Ellicott Mills Dr Ste N
Ellicott City, MD 21043-4622
Phone: (301) 728-0631
Street-level locationGet directions
Mailing address
15428 Rowland Ln
Silver Spring, MD 20905-4352
Registry dates
- Enumerated
- 2025-11-14
- Last updated
- 2025-11-14
- Certified
- 2025-11-13
Frequently asked questions
- What is Jacob Jackson's NPI number?
- Jacob Jackson's National Provider Identifier (NPI) is 1104786920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Jackson's specialty?
- Jacob Jackson is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Jacob Jackson located?
- Jacob Jackson's practice location on file with NPPES is 3525 Ellicott Mills Dr Ste N, Ellicott City, MD 21043-4622.
- What is Jacob Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Jackson is (301) 728-0631.
- Is Jacob Jackson's NPI active?
- Yes — Jacob Jackson's NPI (1104786920) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.