Mrs. Elena P Jackson, PT
Community Health Worker in Lanoka Harbor, New Jersey
1619131414- Practice location
- 703 Angelique CT, Lanoka Harbor, NJ 08734-2231
- Phone
- 609-971-5348
- Fax
- 609-971-0827
- Last updated
- July 11, 2008
Elena Patricia Jackson is a Community Health Worker based in Lanoka Harbor, NJ. Elena Patricia Jackson practices in Lanoka Harbor, NJ and has the professional credentials of PT. The NPI Number for Elena Patricia Jackson is 1619131414 and holds a License No. 40QA00951400 (NJ). The current practice location address for Elena Patricia Jackson is 703 Angelique CT, Lanoka Harbor, NJ 08734-2231 and can be reached out via phone at 609-971-5348 and via fax at 609-971-0827.
Provider Profile Details
- NPI Number
- 1619131414
- Provider Name
- Elena Patricia Jackson
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 703 Angelique CT, Lanoka Harbor, NJ 08734-2231
- Phone Number
- 609-971-5348
- Fax Number
- 609-971-0827
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 11, 2008
- Last Update Date
- July 11, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 Angelique CT
Lanoka Harbor, NJ 08734-2231 - City
- Lanoka Harbor
- State
- New Jersey
- Zip
- 08734-2231
- Phone Number
- 609-971-5348
- Fax Number
- 609-971-0827
Provider Business Mailing Address Details
- Address
- 703 Angelique CT
Lanoka Harbor, NJ 08734-2231 - City
- Lanoka Harbor
- State
- NJ
- Zip
- 08734-2231
- Phone Number
- 609-971-5348
- Fax Number
- 609-971-0827
License Information
- License Number
- 40QA00951400
- License State
- NJ
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Elena P Jackson, PT?
The NPI number of Mrs. Elena P Jackson, PT is 1619131414. It was assigned on July 11, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Elena P Jackson, PT?
Mrs. Elena P Jackson, PT is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in NJ under license number 40QA00951400.
Where does Mrs. Elena P Jackson, PT practice?
The practice location is 703 Angelique CT, Lanoka Harbor, NJ 08734-2231. The office can be reached at 609-971-5348 (phone) or 609-971-0827 (fax).
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 1619131414 directly on the NPPES registry website.