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

Elizabeth Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164703120

Elizabeth Jackson is a Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1115 W Chestnut St
Brockton, MA 02301-7501
Phone: (508) 317-3694
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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

Record details

NPI number1164703120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2011
Last updated in NPPESSeptember 5, 2011
Mailing address16 Cedar Ln, Norwood, MA 02062-3039

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