Individual provider · Type 1 NPI

Naima K. Jackson, PA-C

Surgical Physician Assistant · Laurel, MD

NPI number 1083896948 Active

Practice location

7300 Van Dusen Rd, Laurel Regional Hospital
Laurel, MD 20707

Call (301) 497-7940 Map

Fax (301) 497-8743

Mailing address

3435 Gateshead Manor Way, #301
Silver Spring, MD 20904-6136

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0002405 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1083896948

Naima K. Jackson, PA-C's National Provider Identifier is 1083896948, issued on Dec 3, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Laurel, MD. The record was last updated on Dec 3, 2007.