MRS. SUSAN J JACKSLAND OTR
NPI 1790803229
Specialist in Melbourne, FL

Q: What is Susan Jacksland's NPI number?

The NPI number for Susan Jacksland is 1790803229. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Susan J Adams Otr.

Q: What is Susan Jacksland's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Jacksland was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 26, 2007

1990 NEW HAVEN AVENUE, SUITE 105, MELBOURNE, FL 32904(321) 773-1737(321) 773-1737 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Susan J Jacksland Otr NPPES

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

MRS. SUSAN J JACKSLAND OTR (NPI 1790803229) is an individual specialist in Melbourne, Florida, licensed in Florida (OT4353) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790803229

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. SUSAN J JACKSLANDCredential: OTR

Location Address1990 NEW HAVEN AVENUE, SUITE 105Melbourne, FL 32904

Mailing Address3417 Slate StreetWest Melbourne, FL 32904-7593 · (407) 242-7070

Phone(321) 773-1737

Fax(321) 773-1737

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1790803229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in FL · OT4353✔ Licensed in FL · OT0004353

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1990 NEW HAVEN AVENUE, Melbourne, FL 32904

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Other Names 1

Former Name (1)Susan J Adams Otr

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 Susan Jacksland's NPI number?

The NPI number for Susan Jacksland is 1790803229. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Susan J Adams Otr.

Where is Susan Jacksland located?

Susan Jacksland practices at 1990 New Haven Avenue Suite 105, Melbourne, FL 32904. The listed phone number is (321) 773-1737.

What is Susan Jacksland's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Jacksland was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.