Individual
JACOB JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
3525 ELLICOTT MILLS DR STE N, ELLICOTT CITY, MD 21043-4622
(301) 728-0631
Mailing address
15428 ROWLAND LN, SILVER SPRING, MD 20905-4352
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U03217
MD
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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