Search › Maryland › 103TS0200X
Traci Jackson, M.S
NPI 1457167827 · on the registry since 2024
Practice
- Address
- 6300 Odonnell St
Baltimore, MD 21224 - Phone
- (443) 844-4147
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-10
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