1. Home
  2. Directory
  3. Maryland
  4. Ellicott City
  5. Acupuncturist
  6. NPI Profile

JACOB JACKSON L.AC
NPI 1104786920
Acupuncturist in Ellicott City, MD

Active since November 14, 2025
3525 ELLICOTT MILLS DR STE N, ELLICOTT CITY, MD 21043(301) 728-0631 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Jackson L.ac NPPES

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

JACOB JACKSON L.AC (NPI 1104786920) is an individual acupuncturist in Ellicott City, Maryland, licensed in Maryland (U03217) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1104786920
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJACOB JACKSONCredential: L.AC
Location Address3525 ELLICOTT MILLS DR STE NEllicott City, MD 21043-4622
Mailing Address15428 Rowland LnSilver Spring, MD 20905-4352
Phone(301) 728-0631
Sole ProprietorYes
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1104786920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MD · U03217
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
3525 ELLICOTT MILLS DR STE N, Ellicott City, MD 21043
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MEGAN A ECHARD L.AC.
Acupuncturist
3525 ELLICOTT MILLS DR STE N
ELLICOTT CITY, MD 21043
Howard County (443) 995-1930

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 Jacob Jackson's NPI number?

The NPI number for Jacob Jackson is 1104786920. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Where is Jacob Jackson located?

Jacob Jackson practices at 3525 Ellicott Mills Dr Ste N, Ellicott City, MD 21043. The listed phone number is (301) 728-0631.

What is Jacob Jackson's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jacob Jackson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.