SearchMaryland224P00000X

Angela Jackson

NPI 1336742469 · on the registry since 2020

Practice

Address
2164 Bonnie Ln
Waldorf, MD 20601
Phone
(202) 748-1632

Registry record

Primary taxonomy
224P00000X
224P00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-18

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