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

Gina Marie Jackson

Individual provider Pediatric Occupational Therapist · NPI 1639301682

Gina Marie Jackson is a Pediatric Occupational Therapist in Stafford, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone: (713) 995-9292
Fax: (713) 995-4402
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 102683 (TX)

Record details

NPI number1639301682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address12400 Shadow Creek Pkwy, Apt 2406, Pearland, TX 77584-7360

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