Individual
JASMINE GABRIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4321 HARTWICK RD STE 101, COLLEGE PARK, MD 20740-3201
(301) 277-6616
(301) 277-6618
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(410) 927-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26346
MD
Other
Enumeration date
02/10/2017
Last updated
05/27/2020
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