Individual
DR. MARY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 243-3400
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD500002817
DC
Other
Enumeration date
03/26/2021
Last updated
06/30/2025
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