NPI 1124834858

Lisa D Jackson

Practitioner Health & Wellness Coach Clinton, MD

Practice location

Address: 9134 Piscataway Rd Unit 371, Clinton, MD 20735-7615
Phone: (240) 444-5976

Registered specialties (2)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1124834858
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2024
Record last updated: 7 Dec 2024

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.