Jacob Jackson, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U03217 Issued in MD

Practice address

3525 Ellicott Mills Dr Ste N
Ellicott City, MD 21043-4622

Phone

(301) 728-0631

NPI assigned

Nov 14, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1104786920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15428 ROWLAND LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ELLICOTT MILLS DR STE N",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434622",
            "telephone_number": "301-728-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JACOB",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karithanom V Isaac, MD
• Bergina Brickhouse Isbell, MD
• Whittley Isler, LMSW
• Madelyn Ives, MS CF-SLP
• J.a.E.L. Health Services, Inc.
• Nicole Jackson, LGPC
• Tracie Renee Jackson, RN
• Wayne Jackson, DPT
• Amber Jacobs, MS/CAGS
• Sarah Jacques, LCSW-C

• Acupuncturist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.