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

Melissa Lousie Jackson

Individual provider Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1497064695

Melissa Lousie Jackson is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Scarborough, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2010

Practice location Address checks out

4 Victory Ln
Scarborough, ME 04074-8486
Phone: (207) 939-7627
Show map & directions

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence MT3643 (ME)

Record details

NPI number1497064695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2010
Last updated in NPPESOctober 5, 2010