Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104832898 Individual Practitioner Female Practitioner

Jennifer Marie Jackson , LMT

Specialist • Cocoa, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Jackson, LMT is a registered healthcare professional specializing in Specialist in Cocoa, FL. Practice services are available at 1553 N COCOA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1553 N Cocoa Blvd

Cocoa, FL 329226933

Telephone 3216345710

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Cocoa, FL (3036 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA #14350

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Karen Kush , LMT

Massage Therapist

NPI 1700800554

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1553 N COCOA BLVD, COCOA, FL 329226933 (Tel: 3216345710)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1553 N COCOA BLVD, COCOA, FL 329226933

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Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER JACKSON, L.M.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA #14350 in FL)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104832898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1553 N Cocoa Blvd

Cocoa, FL 329226933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.