Individual
MRS. KAREN ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7912
Mailing address
10 FOX HILL CT, PERRY HALL, MD 21128-9731
(410) 605-7000
(410) 605-7912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0555083
MD
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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