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

Individual provider Rehabilitation Practitioner · NPI 1639534993

Jessica Annette Jackson is a Rehabilitation Practitioner in San Rafael, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

4020 Civic Center Dr
San Rafael, CA 94903-4173
Phone: (415) 491-2548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Russell St, Vallejo, CA 94591-6543 — (415) 573-6902

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1639534993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 30, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020

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