What is Jennifer Jackson's NPI number?

Jennifer Jackson's National Provider Identifier (NPI) is 1104832898, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jennifer Jackson's specialty?

Jennifer Jackson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jennifer Jackson located?

Jennifer Jackson's practice location on file with NPPES is 1553 N Cocoa Blvd, Cocoa, FL 32922-6933.

What is Jennifer Jackson's phone number?

The practice phone number listed in the NPPES registry for Jennifer Jackson is (321) 634-5710.

Is Jennifer Jackson's NPI active?

Yes — Jennifer Jackson's NPI (1104832898) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jennifer Jackson, L.M.T.

NPI 1104832898 · Specialist · Cocoa, FL

Jennifer Jackson, L.M.T. is a Specialist provider in Cocoa, FL (NPI 1104832898).

Provider details

NPI number: 1104832898
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: L.M.T.
Sex: Female
Sole proprietor: Yes
License: MA #14350 (FL)

Specialties & taxonomies

SpecialistPrimary174400000XLicense MA #14350 (FL)
Other Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES 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

1553 N Cocoa Blvd

Cocoa, FL 32922-6933

Phone: (321) 634-5710

Street-level locationGet directions

More FL providers

Mailing address