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Shelby Jackson
NPI 1245827815 · on the registry since 2020
Practice
- Address
- 13400 Edgemeade Rd
Upper Marlboro, MD 20772 - Phone
- (240) 681-6000
- Organisation at this address
- The Recovery Village Maryland, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2020-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland