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

Melodie Isma Jackson

Individual provider Counselor · NPI 1295028645

Melodie Isma Jackson is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1401 S 4th St
Philadelphia, PA 19147-5948
Phone: (215) 339-1070
Fax: (215) 339-1080
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1295028645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESMay 18, 2011

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