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

Genette Jackson

Individual provider Speech-Language Pathologist · NPI 1104399096

Genette Jackson is a Speech-Language Pathologist in Beltsville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

11011 Cherry Hill Rd
Beltsville, MD 20705-3801
Phone: (301) 572-0600
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 07511 (MD)

Record details

NPI number1104399096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJanuary 3, 2019
Mailing address3715 40th Pl, Brentwood, MD 20722-1610

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