NPI 1497064695

Melissa Lousie Jackson

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Scarborough, ME

Practice location

Address: 4 Victory Ln, Scarborough, ME 04074-8486
Phone: (207) 939-7627

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence MT3643 (ME)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Maine →

Registry record

NPI: 1497064695
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2010
Record last updated: 5 Oct 2010

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.