SERENITY LEILANI JACKSON OTR
NPI 1205666120
Occupational Therapist in Port Orange, FL
About Serenity Leilani Jackson Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITY LEILANI JACKSON OTR (NPI 1205666120) is an individual occupational therapist in Port Orange, Florida and active in the NPI registry since August 2024.
NPPES Registry Identity
Specialties & Licenses
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 Serenity Jackson's NPI number?
The NPI number for Serenity Jackson is 1205666120. It was assigned to this individual provider in the NPPES registry on August 5, 2024.
Where is Serenity Jackson located?
Serenity Jackson practices at 1339 Coconut Palm Cir, Port Orange, FL 32128. The listed phone number is (386) 416-9050.
What is Serenity Jackson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Serenity Jackson was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.