Individual
MRS. JESSICA L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
492 NAUGHRIGHT RD, LONG VALLEY, NJ 07853-3807
(908) 358-5024
Mailing address
492 NAUGHRIGHT RD, LONG VALLEY, NJ 07853-3807
(908) 358-5024
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
25MT00098000
NJ
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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