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

Melissa Rae Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578227864

Melissa Rae Jackson is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

2157 Main St
Buffalo, NY 14214-2692
Phone: (716) 862-1840
Show map & directions

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

Additional practice locations (1)

  • 1111 W 17th St, Tulsa, OK 74107-1886 — (301) 518-3917

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OK)

Record details

NPI number1578227864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2021
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address2157 Main St, Buffalo, NY 14214-2692

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