Individual provider · Type 1 NPI
Andria Jackson
Prosthetics Case Management · Upper Marlboro, MD
NPI number
1073138285
Active
Practice location
9560 Marlboro Pike Ste 105
Upper Marlboro, MD 20772-3770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | 407120 (MD) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
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About NPI 1073138285
Andria Jackson's National Provider Identifier is 1073138285, issued on Jun 12, 2020. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jun 12, 2020.