Jean Jacklin, CRNP
NPI #1043665094 in Severna Park, Maryland
Provider Information
- NPI Number
- 1043665094
- Entity Type
- Individual
- Name
- Jean Jacklin, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 900 RITCHIE HWY
- Address 2
- SUITE 203
- City
- Severna Park
- State
- Maryland
- ZIP Code
- 21146-4142
- Phone
- (410) 897-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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