Active NPIIndividual providerSole proprietor

Brittney G Jackson

Occupational Therapy Assistant in Fairhaven, Massachusetts

NPI Number1568061083
Practice location
71 Center St, Fairhaven, MA 02719-3822
Fax
—
Last updated
February 18, 2021

Brittney Gail Jackson is an Occupational Therapy Assistant based in Fairhaven, MA. Brittney Gail Jackson practices in Fairhaven, MA. The NPI Number for Brittney Gail Jackson is 1568061083 and holds a License No. 4093 (MA). The current practice location address for Brittney Gail Jackson is 71 Center St, Fairhaven, MA 02719-3822 and can be reached out via phone at 508-999-4561.

Provider Profile Details

NPI Number
1568061083
Provider Name
Brittney Gail Jackson
Provider Entity Type
Individual
Gender
Female
Address
71 Center St, Fairhaven, MA 02719-3822
Phone Number
508-999-4561
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2020
Last Update Date
February 18, 2021
Certification Date
February 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Center St
Fairhaven, MA 02719-3822
Zip
02719-3822
Phone Number
508-999-4561
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
51 Berkeley CT
Middletown, RI 02842-5356
City
Middletown
State
RI
Zip
02842-5356
Phone Number
508-951-2491

License Information

License Number (1)
4093
License State (1)
MA
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
1170
License State (2)
RI
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brittney G Jackson?

The NPI number of Brittney G Jackson is 1568061083. It was assigned on October 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Brittney G Jackson?

Brittney G Jackson is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 4093.

Where does Brittney G Jackson practice?

The practice location is 71 Center St, Fairhaven, MA 02719-3822. The office can be reached at 508-999-4561 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568061083 directly on the NPPES registry website.

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