Individual provider · Type 1 NPI
Dianne Regina Jackson, MD
General Practice Physician · Owings Mills, MD
NPI number
1003193947
Active
Practice location
9601 Reistertown Rd
Owings Mills, MD 21117
Mailing address
P.o. Box (561)
Lanham, MD 20703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D0039496 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Owings Mills
About NPI 1003193947
Dianne Regina Jackson, MD's National Provider Identifier is 1003193947, issued on Nov 7, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Owings Mills, MD. The record was last updated on Nov 7, 2011.