Organization
JACKSON PROFESSIONAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JACK (OWNER)
(818) 324-8644
Entity
Organization
Contact information
Practice address
2619 POT SPRING RD, TIMONIUM, MD 21093-2733
(818) 324-8644
Mailing address
2619 POT SPRING RD, TIMONIUM, MD 21093-2733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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