Individual
DR. DANA R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(703) 568-9597
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D70293
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD460638
PA
2085U0001X
Diagnostic Ultrasound Physician
D70293
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2009
Last updated
02/24/2026
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