Individual
DR. DARREN WAYNE JACKSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3000
Mailing address
3615 20TH ST NE, WASHINGTON, DC 20018-2729
(516) 851-8517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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