Organization
FAMILY AFFAIR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA YVETTE JACKSON MASTER IN NURSING (NURSE PRACTITIONER)
(443) 418-4254
Entity
Organization
Contact information
Practice address
343 CHAMBORLEY DR, REISTERSTOWN, MD 21136-6151
(443) 418-4254
Mailing address
343 CHAMBORLEY DR, REISTERSTOWN, MD 21136-6151
(443) 418-4254
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
10/02/2021
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