MARISA JACKSON
NPI 1396632964
Home Health Aide in Saint Albans, WV
About Marisa Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA JACKSON (NPI 1396632964) is an individual home health aide in Saint Albans, West Virginia and active in the NPI registry since June 2025.
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 Marisa Jackson's NPI number?
The NPI number for Marisa Jackson is 1396632964. It was assigned to this individual provider in the NPPES registry on June 18, 2025.
Where is Marisa Jackson located?
Marisa Jackson practices at 818 Skinner Dr, Saint Albans, WV 25177. The listed phone number is (304) 412-2860.
What is Marisa Jackson's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Marisa Jackson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Marisa Jackson · NPI 1396632964
Home Health Aide provider in Saint Albans, West Virginia. Individual provider, active in the CMS NPPES registry since June 18, 2025.
## Identity
- **NPI:** 1396632964 (Entity type: Individual)
- **Enumerated:** June 18, 2025
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 818 SKINNER DR, Saint Albans, WV 25177-2945
- **Phone:** (304) 412-2860
## Record status
- **NPPES last updated:** June 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1396632964) · Data from the CMS NPPES public registry.