Lisa D Jackson
Lisa D Jackson is a Student in an Organized Health Care Education/Training Program in Clinton, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9134 Piscataway Rd Unit 371Clinton, MD 20735-7615
Phone: (240) 444-5976
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Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1124834858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2024 |
| Last updated in NPPES | December 7, 2024 |
| Certification date | December 6, 2024 |
| Mailing address | 9134 Piscataway Rd Unit 371, Clinton, MD 20735-7615 |
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