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

Individual provider Occupational Therapist · NPI 1679792501

Mrs. Jennifer Brockman Jackson, OTR is an Occupational Therapist in Saint Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4101 28th Ave N
Saint Petersburg, FL 33713-2230
Phone: (727) 527-0703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT9272 (FL)

Record details

NPI number1679792501
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007

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