MS. Jennifer Nicole Jackson, BA, LPTA

NPI #1326655705 in Paris, Texas

Provider Information

NPI Number: 1326655705
Entity Type: Individual
Name: MS. Jennifer Nicole Jackson, BA, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: BA, LPTA
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 2540 RIDGEVIEW RD
City: Paris
State: Texas
ZIP Code: 75460-3321
Phone: (903) 517-6992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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