Organization
GRASSROOTS HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JACKSON (OWNER)
(301) 276-4334
Entity
Organization
Contact information
Practice address
10105 BALTIMORE AVE APT 3401, COLLEGE PARK, MD 20740-4231
(410) 937-1766
Mailing address
10105 BALTIMORE AVE APT 3401, COLLEGE PARK, MD 20740-4231
(410) 937-1766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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