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Jessica Annette Jackson
Rehabilitation Practitioner in San Rafael, California
NPI 1639534993

Jessica Annette Jackson is a Rehabilitation Practitioner based in Vallejo, CA. Jessica Annette Jackson practices in San Rafael, CA. The NPI Number for Jessica Annette Jackson is 1639534993 and holds a License No. (California).

The current practice location address for Jessica Annette Jackson is 4020 Civic Center Dr, San Rafael, CA and can be reached out via phone at 415-491-2548. You can also correspond with Jessica Annette Jackson through the mailing address at 601 RUSSELL ST, VALLEJO, CA - 94591-6543 (mailing address contact number: 415-573-6902).

Location: 4020 Civic Center Dr, San Rafael, CA, 94591-6543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639534993
Provider Name
Jessica Annette Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4020 Civic Center Dr, San Rafael, CA, 94591-6543
Phone Number
415-491-2548
Fax Number
Provider Enumeration Date
12/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D3589691 05 CA
institution
Provider Business Practice Location Address Details
Address
4020 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4173
Phone Number
415-491-2548
Fax Number
person
Provider Business Mailing Address Details
Address
4020 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4173
Phone Number
415-491-2548
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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