Individual
ALEXIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 269-2404
Mailing address
425 COKESBURY RD, PORT DEPOSIT, MD 21904-1729
(301) 437-8557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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