Individual
NATHIEA JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 TINKERS CREEK PL, CLINTON, MD 20735-1484
(313) 598-7045
Mailing address
5500 TINKERS CREEK PL, CLINTON, MD 20735-1484
(313) 598-7045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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