Active NPIIndividual provider

Jennifer N Jackson, MA, CCC-SLP

Speech-Language Pathologist, in Dedham, Massachusetts

NPI Number1972760171
Practice location
597 High St, Dedham, MA 02026-1863
Fax
781-329-2207
Last updated
January 27, 2009

Jennifer Nicole Jackson is a Speech-Language Pathologist, based in Dedham, MA. Jennifer Nicole Jackson practices in Dedham, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Jennifer Nicole Jackson is 1972760171 and holds a License No. 13065 (OR). The current practice location address for Jennifer Nicole Jackson is 597 High St, Dedham, MA 02026-1863 and can be reached out via phone at 781-329-2262 and via fax at 781-329-2207.

Provider Profile Details

NPI Number
1972760171
Provider Name
Jennifer Nicole Jackson
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
597 High St, Dedham, MA 02026-1863
Phone Number
781-329-2262
Fax Number
781-329-2207
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2008
Last Update Date
January 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
597 High St
Dedham, MA 02026-1863
City
Dedham
Zip
02026-1863
Phone Number
781-329-2262
Fax Number
781-329-2207
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
597 High St
Po Box 126
Dedham, MA 02026-1863
City
Dedham
State
MA
Zip
02026-1863
Phone Number
781-329-2262
Fax Number
781-329-2207

License Information

License Number (1)
13065
License State (1)
OR
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

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 Jennifer N Jackson, MA, CCC-SLP?

The NPI number of Jennifer N Jackson, MA, CCC-SLP is 1972760171. It was assigned on May 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Jennifer N Jackson, MA, CCC-SLP?

Jennifer N Jackson, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in OR under license number 13065.

Where does Jennifer N Jackson, MA, CCC-SLP practice?

The practice location is 597 High St, Dedham, MA 02026-1863. The office can be reached at 781-329-2262 (phone) or 781-329-2207 (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 1972760171 directly on the NPPES registry website.

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