Individual provider · Type 1 NPI
Ashley C. Jackson, CRNP
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1124265459
Active
Practice location
22 S Greene St, 8th Floor Gudelsky Building
Baltimore, MD 21201-1544
Mailing address
29 S Greene St, Suite 200
Baltimore, MD 21201-1504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R183013 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124265459
Ashley C. Jackson, CRNP's National Provider Identifier is 1124265459, issued on Jan 8, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Jan 8, 2009.