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MRS. JENNIFER MARIE JACKSON RDH
NPI 1831884931
Dental Hygienist in Champaign, IL

Active since April 06, 2023
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 403-5477 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jennifer Marie Jackson Rdh NPPES

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

MRS. JENNIFER MARIE JACKSON RDH (NPI 1831884931) is an individual dental hygienist in Champaign, Illinois, licensed in Illinois (020.015221) and active in the NPI registry since April 2023. She maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1831884931
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. JENNIFER MARIE JACKSONCredential: RDH
Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101
Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 403-5477
Phone(217) 403-5477
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1831884931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IL · 020.015221
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
819 BLOOMINGTON RD, Champaign, IL 61820
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Secondary Practice Location 1

Location 11002 S Race StUrbana, IL 61801-4957 · Phone (217) 239-4220

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.

JESSICA LYNN MANDRELL
Nurse Practitioner (Psychiatric/Mental Health)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
DR. CORINNE E KOHLER MD
Family Medicine
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
RIVER ANDRES PA
Physician Assistant
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
PROMISE HEALTHCARE
Counselor (Mental Health)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
VALERIE CINTRON
Social Worker (Clinical)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
JENNY M. DAAB PNP
Nurse Practitioner (Pediatrics)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
MYOUNGSU SONG
Dentist (General Practice)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
ABDELKRIM HADJ SAID PH. D.
Counselor (Professional)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1831884931. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 819 Bloomington Rd, Champaign, IL 61820. The listed phone number is (217) 403-5477.

What is Jennifer Jackson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on April 6, 2023. 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.