Individual
DR. JACALYN CECELIA BLACKWELL-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5100
(410) 521-7337
(410) 521-7377
Mailing address
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133-5100
(410) 521-7337
(410) 521-7377
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D35187
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1789J
CAREFIRST
MD
05
—
443261400
—
MD
Enumeration date
10/04/2006
Last updated
04/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us