IndividualActive
Stacy Jackson
NPI 1720864994 · Rehabilitation Practitioner · Washington, DC
Provider details
- NPI number
- 1720864994
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 H St Nw
Washington, DC 20005-5476
Phone: (888) 701-3131
Approximate (ZIP-level) locationGet directions
Mailing address
850 Towbin Ave
Lakewood, NJ 08701-5928
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.