Individual
KEVA S JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
120 W LEXINGTON ST STE 240, BALTIMORE, MD 21201-3411
(443) 762-4745
(240) 924-3412
Mailing address
5017 OLD COURT RD, RANDALLSTOWN, MD 21133-4630
(443) 392-4561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R151343
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP500015383
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R151343
MD
363LP2300X
Primary Care Nurse Practitioner
NP500015383
DC
Other
Enumeration date
04/18/2022
Last updated
07/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up