MELISSA LOUSIE JACKSON
NPI 1497064695
Neuromusculoskeletal Medicine, Sports Medicine in Scarborough, ME

Q: What is Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1497064695. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Q: What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Jackson was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 05, 2010

4 VICTORY LN, SCARBOROUGH, ME 04074(207) 939-7627 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Melissa Lousie Jackson NPPES

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

MELISSA LOUSIE JACKSON (NPI 1497064695) is an individual neuromusculoskeletal medicine, sports medicine provider in Scarborough, Maine, licensed in Maine (MT3643) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1497064695

Entity TypeIndividualFemale

Primary Taxonomy204C00000X

Provider Legal NameMELISSA LOUSIE JACKSON

Location Address4 VICTORY LNScarborough, ME 04074-8486

Mailing Address4 Victory LnScarborough, ME 04074-8486 · (207) 939-7627

Phone(207) 939-7627

Sole ProprietorYes

Enumeration DateOctober 5, 2010

✔ NPI 1497064695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in ME · MT3643

Definition

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/

4 VICTORY LN, Scarborough, ME 04074

Open in Google Maps ↗

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 Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1497064695. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Melissa Jackson located?

Melissa Jackson practices at 4 Victory Ln, Scarborough, ME 04074. The listed phone number is (207) 939-7627.

What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Melissa Jackson was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.