Rae Lynn Jackson, M.A.,CCC-SLP
Speech-Language Pathologist · East Dubuque, IL
Practice location
100 N School RdEast Dubuque, IL 61025-1174
- Phone
- (815) 747-3117
- Fax
- (815) 747-3827
NPI record
- NPI
- 1861668857
- Entity type
- Individual (Type 1)
- Enumeration date
- April 30, 2008
- Last updated
- April 30, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
146003918 | IL |
About Rae Jackson
Rae Lynn Jackson, M.A.,CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 100 N School Rd, East Dubuque, IL 61025-1174. The NPI number 1861668857 was assigned on April 30, 2008 and the record was last updated on April 30, 2008.
Rae Jackson lists a license in the registry: #146003918 (IL) 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 Rae Lynn Jackson, M.A.,CCC-SLP?
The NPI number is 1861668857.
What is the phone number of Rae Jackson?
The phone number listed for the practice location is (815) 747-3117.
Where is Rae Jackson located?
100 N School Rd, East Dubuque, IL 61025-1174.
What is the taxonomy code for Rae Jackson?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
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.