1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARISA ZOE-TATIANA JACKSON PH.D.
NPI 1033500137
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since February 10, 2015
912 S WOOD ST, M/C 913, CHICAGO, IL 60612(312) 996-3583 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marisa Zoe-tatiana Jackson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA ZOE-TATIANA JACKSON PH.D. (NPI 1033500137) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1033500137
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISA ZOE-TATIANA JACKSONCredential: PH.D.
Location Address912 S WOOD ST, M/C 913Chicago, IL 60612-4300
Mailing Address912 S Wood St, M/c 913Chicago, IL 60612-4300 · (312) 996-3583
Phone(312) 996-3583
Sole ProprietorNo
Enumeration DateFebruary 10, 2015
Last NPPES UpdateMay 24, 2016
✔ NPI 1033500137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
912 S WOOD ST, Chicago, IL 60612
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF ILLINOIS AT CHICAGO
General Acute Care Hospital
912 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-5754
MRS. ELIVERTA BARJAMAJ MSW, LCSW
Social Worker (Clinical)
912 S WOOD ST, ROOM 743
CHICAGO, IL 60612
Cook County (312) 355-4901
BEATRICE T. NAULLEAU
Social Worker
912 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-7206
DR. DILIP K PANDEY MBBS, MS, PHD
Specialist (Research Study)
912 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 355-5421
CHRISTOPHER TRENNEPOHL
Psychiatry & Neurology (Psychiatry)
912 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-2200
ERIC SILVERMAN MD
Psychiatry & Neurology (Psychiatry)
912 S WOOD ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WEIYANG XIE
Psychologist
912 S WOOD ST
CHICAGO, IL 60612
Cook County (612) 636-9701
DR. JAMES L. REILLY PH.D.
Psychologist (Clinical)
912 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 996-7206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Jackson's NPI number?

The NPI number for Marisa Jackson is 1033500137. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Where is Marisa Jackson located?

Marisa Jackson practices at 912 S Wood St M/C 913, Chicago, IL 60612. The listed phone number is (312) 996-3583.

What is Marisa Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marisa Jackson was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.