NPI
Jennifer L Jackson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PhD
- Type
- Individual
- Enumeration date
- 2007-05-01
- Last updated
- 2010-07-15
Specialties
Licenses
- License NY
- 016536
- License NY
- 016536
- License NY
- 016536
Location
- Practice location
- 35 Deforest Ave
- City
- Summit NJ
- Postal code
- 07901-2155
- Phone
- (917) 685-4207
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Summit, NJ. 1,355 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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