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Jennifer Marie Jackson, LMT
Specialist in Cocoa, Florida
NPI 1104832898

Jennifer Marie Jackson is a Specialist based in Cocoa, FL. Jennifer Marie Jackson practices in Cocoa, FL and has the professional credentials of LMT. The NPI Number for Jennifer Marie Jackson is 1104832898 and holds a License No. MA #14350 (Florida).

The current practice location address for Jennifer Marie Jackson is 1553 N Cocoa Blvd, Cocoa, FL and can be reached out via phone at 321-634-5710.

Location: 1553 N Cocoa Blvd, Cocoa, FL, 32922-6933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104832898
Provider Name
Jennifer Marie Jackson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1553 N Cocoa Blvd, Cocoa, FL, 32922-6933
Phone Number
321-634-5710
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1553 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32922-6933
Phone Number
321-634-5710
Fax Number
person
Provider Business Mailing Address Details
Address
1553 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32922-6933
Phone Number
321-634-5710
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA #14350 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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