Individual
JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3864 SWEETEN CREEK ROAD, ARDEN, NC 28704
(828) 681-0904
(610) 612-3019
Mailing address
3864 SWEETEN CREEK ROAD, ARDEN, NC 28704
(828) 575-6128
(610) 612-3019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005789
VA
225X00000X
Occupational Therapist
Primary
10382
NC
Other
Enumeration date
04/22/2015
Last updated
03/03/2022
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