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JESSICA ANNETTE JACKSON
NPI 1639534993
Rehabilitation Practitioner in San Rafael, CA

Active since December 30, 2015
4020 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 491-2548 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2020, Dec 30, 2015 (2 updates tracked since 2015).

About Jessica Annette Jackson NPPES

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

JESSICA ANNETTE JACKSON (NPI 1639534993) is an individual rehabilitation practitioner in San Rafael, California and active in the NPI registry since December 2015. She maintains a secondary practice location in Vallejo.

NPPES Registry Identity

NPI1639534993
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJESSICA ANNETTE JACKSON
Location Address4020 CIVIC CENTER DRSan Rafael, CA 94903-4173
Mailing Address601 Russell StVallejo, CA 94591-6543 · (415) 573-6902
Phone(415) 491-2548
Sole ProprietorYes
Enumeration DateDecember 30, 2015
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1639534993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4020 CIVIC CENTER DR, San Rafael, CA 94903
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Other Names 1

Former Name (1)Jessica Annette Rodriguez

Secondary Practice Location 1

Location 1601 Russell StVallejo, CA 94591-6543 · Phone (415) 573-6902

Other Identifiers 1

MedicaidD3589691CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERNEST GUOMAS LMFT
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2574
DR. BRIAN DOUGLAS PHIFER
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 758-5272
JESSICA BAILEY
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 444-9662
KATHLEEN MARIE MORAN
Counselor
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2594
CORA DAVIS
Rehabilitation Practitioner
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2525
DUNYA GILMORE
Marriage & Family Therapist
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2540
HASAN ALY
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2584
ANGELA M STRUCKMANN
Counselor (Mental Health)
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 491-2575

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 1639534993. It was assigned to this individual provider in the NPPES registry on December 30, 2015. The provider is also known as Jessica Annette Rodriguez.

Where is Jessica Jackson located?

Jessica Jackson practices at 4020 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 491-2548.

What is Jessica Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jessica Jackson was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.