IDA DESIREE JACKSON
NPI 1639957434
Physical Therapy Assistant in Macon, GA
About Ida Desiree Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDA DESIREE JACKSON (NPI 1639957434) is an individual physical therapy assistant in Macon, Georgia, licensed in Georgia (PTA002042) and active in the NPI registry since September 2023.
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 Ida Desiree Jackson's NPI number?
The NPI number for Ida Desiree Jackson is 1639957434. It was assigned to this individual provider in the NPPES registry on September 21, 2023.
Where is Ida Desiree Jackson located?
Ida Desiree Jackson practices at 291 Plantation Centre Dr N Apt 705, Macon, GA 31210. The listed phone number is (478) 447-7052.
What is Ida Desiree Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Ida Desiree Jackson was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.