Individual provider · Type 1 NPI

Jackson Nganga

Licensed Practical Nurse · Baltimore, MD

NPI number 1083575682 Active

Practice location

516 Glenwood Ave
Baltimore, MD 21212-4230

Call (410) 323-9811 Map

Fax (410) 323-3862

Mailing address

8501 Castlemill Cir
Nottingham, MD 21236-2606

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP43242 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1083575682

Jackson Nganga's National Provider Identifier is 1083575682, issued on Nov 21, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 21, 2025.