NPI 1396257820

Jackelyn Kelly Laird

Practitioner Supports Brokerage Agency San Diego, CA

Practice location

Address: 1250 6th Ave STE 150, San Diego, CA 92101-4370
Phone: (619) 252-3562

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Registry record

NPI: 1396257820
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2017
Record last updated: 5 May 2026

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.