Individual
ASHLEY C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, 8TH FLOOR GUDELSKY BUILDING, BALTIMORE, MD 21201-1544
(410) 328-5310
Mailing address
29 S GREENE ST, SUITE 200, BALTIMORE, MD 21201-1504
(410) 328-5408
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R183013
MD
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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