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MRS. MARISSA CAYENNE JACKSON
NPI 1093697666
Doula in Carbondale, IL

Active since July 23, 2025
212 S UNIVERSITY AVE, CARBONDALE, IL 62901(618) 534-9222 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marissa Cayenne Jackson NPPES

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

MRS. MARISSA CAYENNE JACKSON (NPI 1093697666) is an individual doula in Carbondale, Illinois, licensed in Illinois (MJ25) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1093697666
Entity TypeIndividualFemale
Primary Taxonomy374J00000X
Provider Legal NameMRS. MARISSA CAYENNE JACKSON
Location Address212 S UNIVERSITY AVECarbondale, IL 62901-2925
Mailing Address1412 Mounds RdMounds, IL 62964-2305 · (618) 759-0890
Phone(618) 534-9222
Sole ProprietorYes
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1093697666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDoulaNursing Service Related Providers
Taxonomy Code374J00000X
License✔ Licensed in IL · MJ25
Definition
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
212 S UNIVERSITY AVE, Carbondale, IL 62901
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Other Providers at the Same Location NPPES 3

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

E CLAIRE WELLNESS
Massage Therapist
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (618) 713-1249
MRS. DOMINEAK SHANTA MILLER DOULA
Doula
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (773) 655-8103
CANDACE AKINTOLA CD
Doula
212 S UNIVERSITY AVE
CARBONDALE, IL 62901
Jackson County (618) 534-3345

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 Marissa Jackson's NPI number?

The NPI number for Marissa Jackson is 1093697666. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Marissa Jackson located?

Marissa Jackson practices at 212 S University Ave, Carbondale, IL 62901. The listed phone number is (618) 534-9222.

What is Marissa Jackson's specialty?

The primary specialty registered for this NPI is Doula with taxonomy code 374J00000X.

When was this NPI record last updated?

The NPPES record for Marissa Jackson was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.