Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genette Jackson

Individual provider Speech-Language Pathologist · NPI 1104399096

Genette Jackson is a Speech-Language Pathologist in Beltsville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

11011 Cherry Hill Rd
Beltsville, MD 20705-3801
Phone: (301) 572-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 07511 (MD)

Record details

NPI number1104399096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJanuary 3, 2019

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