Jayleene Jackson
Jayleene Jackson is a Developmental Therapist in Tampa, Florida. Licensed in Pennsylvania. Registered with an NPI since 2022.
- Licensed in
- PA
- In the registry since
- 2022
Practice location Address checks out
4140 Gauge Line LoopTampa, FL 33624-5130
Phone: (484) 219-7873
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence 30878571 (PA) |
|---|
Record details
| NPI number | 1326787334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 31, 2022 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
| Mailing address | 4140 Gauge Line Loop, Tampa, FL 33624-5130 |
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