Joyce Jacquetta Jackson in Waldorf - Nurse Practitioner

Joyce Jacquetta Jackson - NPI 1932377702

Joyce Jacquetta Jackson is a Nurse Practitioner in Waldorf, Maryland. Joyce Jacquetta Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Joyce Jacquetta Jackson is 1932377702. The last update date is 2008-02-14.

Joyce Jacquetta Jackson's current location address is 3450 Old Washington Road, Waldorf, Maryland. You can contact this provider via phone number 3016453590 and fax number 3017051941. The mailing address for Joyce Jacquetta Jackson is 3450 Old Washington Road, Waldorf, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Joyce Jacquetta Jackson
Address 3450 Old Washington Road, Waldorf, Maryland
Phone Number 3016453590
Fax Number 3017051941
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1932377702
Provider Enumeration Date 2008-02-14
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 3450 Old Washington Road
City Waldorf
State Maryland (MD)
Post Code 206023248
Phone Number 3016453590
Fax Number 3017051941

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R109047
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Joyce Jacquetta Jackson

What is the Joyce Jacquetta Jackson's unique identification number?

The Joyce Jacquetta Jackson has been assigned the NPI (National Provider Identifier) Number 1932377702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Joyce Jacquetta Jackson's facilities are geographically located?

The facilities of Joyce Jacquetta Jackson are physically situated at the following location: 3450 Old Washington Road, Waldorf, MD, 206023248.

What is Joyce Jacquetta Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Joyce Jacquetta Jackson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932377702 to Joyce Jacquetta Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1932377702 to Joyce Jacquetta Jackson on 2008-02-14.

When was the information pertaining to Joyce Jacquetta Jackson most recently updated or revised?

The details related to Joyce Jacquetta Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-14.

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