MRS. JACKIE LOU ANDERSON
NPI 1295004406
Developmental Therapist in Machesney Park, IL
About Mrs. Jackie Lou Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACKIE LOU ANDERSON (NPI 1295004406) is an individual developmental therapist in Machesney Park, Illinois and active in the NPI registry since December 2011.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Jackie Anderson's NPI number?
The NPI number for Jackie Anderson is 1295004406. It was assigned to this individual provider in the NPPES registry on December 16, 2011.
Where is Jackie Anderson located?
Jackie Anderson practices at 101 Shoreland Rd, Machesney Park, IL 61115. The listed phone number is (815) 633-1173.
What is Jackie Anderson's specialty?
The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.
When was this NPI record last updated?
The NPPES record for Jackie Anderson was last updated on December 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.