Individual
CORRINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1497
(301) 896-3100
Mailing address
1668 PADINGTON PARK LN, GERMANTOWN, TN 38138-1622
(901) 270-0516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142851
MD
367500000X
Certified Registered Nurse Anesthetist
R256891
MD
Other
Enumeration date
07/03/2023
Last updated
12/26/2025
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