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ELIZABETH JACKSON
NPI 1164703120
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since September 05, 2011
1115 W CHESTNUT ST, BROCKTON, MA 02301(508) 317-3694 Get Directions Write a Review

NPPES record last updated: September 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elizabeth Jackson NPPES

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

ELIZABETH JACKSON (NPI 1164703120) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1164703120
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH JACKSON
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address16 Cedar LnNorwood, MA 02062-3039 · (508) 317-3694
Phone(508) 317-3694
Sole ProprietorNo
Enumeration DateSeptember 5, 2011
✔ NPI 1164703120 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.
1115 W CHESTNUT ST, Brockton, MA 02301
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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.

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1164703120. It was assigned to this individual provider in the NPPES registry on September 5, 2011.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 317-3694.

What is Elizabeth 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 Elizabeth Jackson was last updated on September 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.