Individual
DR. YVONNE MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14300 GALLANT FOX LN, SUITE 203, BOWIE, MD 20715-4003
(301) 262-4784
(301) 262-2767
Mailing address
14300 GALLANT FOX LN, SUITE 203, BOWIE, MD 20715-4003
(301) 262-4784
(301) 262-2767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D50706
MD
Other
Enumeration date
08/09/2005
Last updated
04/10/2011
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