Individual
MS. NAIMA K JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL REGIONAL HOSPITAL, LAUREL, MD 20707
(301) 497-7940
(301) 497-8743
Mailing address
3435 GATESHEAD MANOR WAY, #301, SILVER SPRING, MD 20904-6136
(301) 890-4495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0002405
MD
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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