MELISSA LOUSIE JACKSON
NPI 1497064695
Neuromusculoskeletal Medicine, Sports Medicine in Scarborough, ME
- Individual
- Female
- Neuromusculoskeletal Medicine, Sports Me...
About MELISSA JACKSON
This page provides the complete NPI Profile along with additional information for Melissa Jackson, a provider established in Scarborough, Maine with a medical specialization in Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1497064695 assigned on October 2010. The practitioner's primary taxonomy code is 204C00000X with license number MT3643 (ME). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1497064695 Verify this NPI
- Provider Name
- MELISSA LOUSIE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4 VICTORY LN SCARBOROUGH, ME 04074
- Location Phone
- (207) 939-7627
- Mailing Address
- 4 VICTORY LN SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 939-7627
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-05-2010
- Last Update Date
- 10-05-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT3643
- License State
- ME
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497064695, enumerated as an "individual" on October 05, 2010.
The provider is located at 4 VICTORY LN SCARBOROUGH, ME 04074 and the phone number is (207) 939-7627.
Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.
