MS. Joyce Jacquetta Jackson, NP

NPI #1932377702 in Waldorf, Maryland

Provider Information

NPI Number: 1932377702
Entity Type: Individual
Name: MS. Joyce Jacquetta Jackson, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 3450 OLD WASHINGTON ROAD
Address 2: SUITE 202
City: Waldorf
State: Maryland
ZIP Code: 20602-3248
Phone: (301) 645-3590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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