| Jackson's Nurse Practitioner Housecalls Llc | |
|
12 Kings Crossing Ct Apt L Cockeysville MD 21030 | |
| (443) 255-9527 | |
| Not Available |
| Full Name | Jackson's Nurse Practitioner Housecalls Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Kings Crossing Ct Apt L, Cockeysville, Maryland |
| Authorized Official Name and Position | Cheryse Jackson (MANAGING MEMBER) |
| Authorized Official Contact | 4432559527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson's Nurse Practitioner Housecalls Llc 12 Kings Crossing Ct Apt L Cockeysville MD 21030-3163 Ph: (443) 255-9527 | Jackson's Nurse Practitioner Housecalls Llc 12 Kings Crossing Ct Apt L Cockeysville MD 21030 Ph: (443) 255-9527 |
| NPI Number | 1942795729 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942795729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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