Individual
CYNTHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5100 HIGHBRIDGE ST APT 47D, FAYETTEVILLE, NY 13066-2461
(202) 367-2678
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(202) 367-2678
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0089046
MD
Other
Enumeration date
04/18/2017
Last updated
09/28/2022
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