Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA JACKSON
NPI 1376440990
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since October 26, 2026
1015 WALNUT STREET CURTIS BUILDING, SUITE 115, PHILADELPHIA, PA 19170(240) 615-7588 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Jackson NPPES

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

JESSICA JACKSON (NPI 1376440990) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1376440990
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJESSICA JACKSON
Location Address1015 WALNUT STREET CURTIS BUILDING, SUITE 115Philadelphia, PA 19170-0001
Mailing Address705 S 12th St Unit 1Philadelphia, PA 19147-1892 · (240) 615-7588
Sole ProprietorNo
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1376440990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1015 WALNUT STREET CURTIS BUILDING, Philadelphia, PA 19170

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1376440990. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Where is Jessica Jackson located?

Jessica Jackson practices at 1015 Walnut Street Curtis Building Suite 115, Philadelphia, PA 19170. The listed phone number is (240) 615-7588.

What is Jessica 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 Jessica Jackson was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.