NPI 1104786920

Jacob Jackson, LAC

Practitioner Acupuncturist Ellicott City, MD

Practice location

Address: 3525 Ellicott Mills Dr STE N, Ellicott City, MD 21043-4622
Phone: (301) 728-0631
Mailing address: 15428 Rowland Ln, Silver Spring, MD 20905-4352

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence U03217 (MD)

Other Acupuncturist providers in Maryland →

Registry record

NPI: 1104786920
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2025
Record last updated: 14 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.