Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093697666 Individual Practitioner Female Practitioner

Marissa Cayenne Jackson

Doula • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Marissa Jackson is a registered healthcare professional specializing in Doula in Carbondale, IL. Practice services are available at 212 S UNIVERSITY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 S University Ave

Carbondale, IL 629012925

Telephone 6185349222
Associated Practice Facility / Clinic
🏢 E Claire Wellness Facility NPI 1144003336

Specialty Benchmarks & Practice Insights

Comparative analytics for Doula in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Carbondale, IL (514 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-07-23
Doula Primary Specialty

NUCC Taxonomy Code: 374J00000X

State License IL MJ25

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1215807797
NPI 1538953666

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2025

Registered at 212 S UNIVERSITY AVE, CARBONDALE, IL 629012925 (Tel: 6185349222)

📍
Updated Business Mailing Address July 23, 2025

Registered at 1412 MOUNDS RD, MOUNDS, IL 629642305 (Tel: 6187590890)

👤
Provider Name / Credentials Updated July 23, 2025

Recorded as MARISSA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Doula (License #MJ25 in IL)

🟢
Initial NPI Registration & Enumeration July 23, 2025

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: 1093697666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2025
Last Update: July 23, 2025
Sole Proprietor: Yes

Mailing Address

1412 Mounds Rd

Mounds, IL 629642305

Phone: 6187590890

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.