Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Monet Jackson

Individual provider Athletic Trainer · NPI 1962108571

Andrea Monet Jackson is an Athletic Trainer in Newark, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

118 S 7th St Fl 2
Newark, NJ 07107-3750
Phone: (973) 855-1610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1962108571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 5, 2023
Mailing address118 S 7th St Fl 2, Newark, NJ 07107-3750

Other providers in Newark