Individual provider · Type 1 NPI

Keva S. Jackson, FNP-BC, PMHNP-BC

Family Nurse Practitioner · Baltimore, MD

NPI number 1144963059 Active

Practice location

120 W Lexington St Ste 240
Baltimore, MD 21201-3411

Call (443) 762-4745 Map

Fax (240) 924-3412

Mailing address

5017 Old Court Rd
Randallstown, MD 21133-4630

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XNP500015383 (DC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR151343 (MD)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNP500015383 (DC)
Family Nurse Practitioner Primary 363LF0000XR151343 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1144963059

Keva S. Jackson, FNP-BC, PMHNP-BC's National Provider Identifier is 1144963059, issued on Apr 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 30, 2026.