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Individual

MRS. MARANDA C JACKSON-PARKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP-BC

Contact information

Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-3000
Mailing address
100 IRVING STREET, MEDSTAR DIABETES INSTITUTE, ROOM 4131, WASHINGTON, DC 20010
(480) 703-0248

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R168458
MD
364S00000X
Clinical Nurse Specialist
R168458
MD

Other

Enumeration date
02/03/2009
Last updated
07/13/2022
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