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NPI 1124834858

IndividualActive

Lisa Jackson

NPI 1124834858 · Health & Wellness Coach · Clinton, MD

Provider details

NPI number: 1124834858
Entity type: Individual
Primary specialty: Health & Wellness CoachOther Service Providers
Sex: Female
Sole proprietor: Yes

Practice location

9134 Piscataway Rd Unit 371

Clinton, MD 20735-7615

Phone: (240) 444-5976

More MD providers

Mailing address

9134 Piscataway Rd Unit 371

Clinton, MD 20735-7615

Registry dates

Enumerated: 2024-12-07
Last updated: 2024-12-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lisa Jackson — NPI 1124834858, Clinton, MD | NPI Central