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

Jaclyn Christofferson

Individual provider Occupational Therapist · NPI 1578831020

Jaclyn Christofferson is an Occupational Therapist in Advance, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

142 Bermuda Village Dr
Advance, NC 27006-7867
Phone: (336) 940-3557
Fax: (336) 940-3557
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6893 (NC)

Record details

NPI number1578831020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2011
Last updated in NPPESMarch 6, 2018
Mailing address430 Willow Ridge Ln, Winston Salem, NC 27127-9239

Other providers in Advance