Individual
DR. JENNIFER S JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.AC., MSOM, LMT
Contact information
Practice address
126 W MAIN RD, MIDDLETOWN, RI 02842-4937
(401) 862-4894
Mailing address
126 W MAIN RD, MIDDLETOWN, RI 02842-4937
(401) 862-4894
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00395
RI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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