1. Home
  2. Directory
  3. Florida
  4. Cocoa
  5. Specialist
  6. NPI Profile

JENNIFER MARIE JACKSON L.M.T.
NPI 1104832898
Specialist in Cocoa, FL

Active since August 01, 2006
1553 N COCOA BLVD, COCOA, FL 32922(321) 634-5710 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Marie Jackson L.m.t. NPPES

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

JENNIFER MARIE JACKSON L.M.T. (NPI 1104832898) is an individual specialist in Cocoa, Florida, licensed in Florida (MA #14350) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104832898
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER MARIE JACKSONCredential: L.M.T.
Location Address1553 N COCOA BLVDCocoa, FL 32922-6933
Mailing Address1553 N Cocoa BlvdCocoa, FL 32922-6933
Phone(321) 634-5710
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104832898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · MA #14350
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1553 N COCOA BLVD, Cocoa, FL 32922
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MS. KAREN S KUSH LMT
Massage Therapist
1553 N COCOA BLVD
COCOA, FL 32922
Brevard County (321) 634-5710

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1104832898. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 1553 N Cocoa Blvd, Cocoa, FL 32922. The listed phone number is (321) 634-5710.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.