Most Relevant Information
Provider Data
| NPI Number: | 1003504895 |
| Provider Name: | JANAI CASSANDRA JACKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
1901 CHARLES ST
RICHMOND
VA
232263504
Practice Location Phone/Fax
| Phone: | 8046733775 |
| Fax: |
Provider Mailing Location
721 BOULDER SPRINGS DR APT B2
NORTH CHESTERFIELD
VA
232255533
Provider Mailing Phone/Fax
| Phone: | 8049371993 |
| Fax: |