Individual
KEVA S JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
2300 GARRISON BLVD, BALTIMORE, MD 21216-2335
(443) 723-4752
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
R151343
MD
Other
Enumeration date
04/18/2022
Last updated
12/01/2024
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