John Jackson

Speech-Language Pathologist · Maitland, FL

Individual Active NPI

NPI number 1063073310

Practice location

2143 Mohawk Trl
Maitland, FL 32751-3950
Phone
(407) 782-5219

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NPI record

NPI
1063073310
Entity type
Individual (Type 1)
Enumeration date
June 27, 2019
Last updated
April 15, 2020
Certified
April 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 77541 MA
Speech-Language Pathologist 235Z00000X — —

About John Jackson

John Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2143 Mohawk Trl, Maitland, FL 32751-3950. The NPI number 1063073310 was assigned on June 27, 2019 and the record was last updated on April 15, 2020.

John Jackson lists a license in the registry: #77541 (MA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Jackson?

The NPI number is 1063073310.

What is the phone number of John Jackson?

The phone number listed for the practice location is (407) 782-5219.

Where is John Jackson located?

2143 Mohawk Trl, Maitland, FL 32751-3950.

What is the taxonomy code for John Jackson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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