Jane E Jackson in Kensington - Prescribing (medical)

Jane E Jackson - NPI 1982811709

Jane E Jackson is a Prescribing (medical) in Kensington, Maryland. Jane E Jackson practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Jane E Jackson is 1982811709. The last update date is 2007-07-09.

Jane E Jackson's current location address is 3513 Sandy Ct, Kensington, Maryland. You can contact this provider via phone number 3014662562 and fax number 3019499666. The mailing address for Jane E Jackson is 3513 Sandy Ct, Kensington, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane E Jackson
Address 3513 Sandy Ct, Kensington, Maryland
Phone Number 3014662562
Fax Number 3019499666
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1982811709
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3513 Sandy Ct
City Kensington
State Maryland (MD)
Post Code 208951420
Phone Number 3014662562
Fax Number 3019499666

Provider's Primary Taxonomy Detail

Speciality Prescribing (medical)
Taxonomy 103Tp0016X
Licence No D0028973
Definition:
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MAMSI MAPSI 385639
K1240001 DC CAREFIRST BCBS
343BJE MD CAREFIRST BCBS

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FAQs about Jane E Jackson

What is the unique 10-digit identifier code assigned to Jane E Jackson by the Centers for Medicare & Medicaid Services?

The Jane E Jackson has been issued the NPI (National Provider Identifier) 1982811709 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jane E Jackson's facilities are situated?

The facilities of Jane E Jackson are physically located at the following address: 3513 Sandy Ct, Kensington, MD, 208951420.

What is the Jane E Jackson's specialty and taxonomy code?

The Jane E Jackson's specialty is Prescribing (medical), and the corresponding taxonomy code is 103Tp0016X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982811709 to Jane E Jackson?

The Jane E Jackson received its 1982811709 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.

When was the information pertaining to Jane E Jackson most recently updated or revised?

The details related to Jane E Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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