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

Mrs. Marissa Cayenne Jackson

Individual provider Doula · NPI 1093697666

Mrs. Marissa Cayenne Jackson is a Doula in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

212 S University Ave
Carbondale, IL 62901-2925
Phone: (618) 534-9222
Show map & directions

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

Specialties & licences

Doula (primary) Taxonomy 374J00000X · Licence MJ25 (IL)

Record details

NPI number1093697666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address1412 Mounds Rd, Mounds, IL 62964-2305

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