Individual provider · Type 1 NPI

Brinton B. Jackson, P.A.

Medical Physician Assistant · Takoma Park, MD

NPI number 1154551844 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Fax (301) 891-5132

Mailing address

20010 Century Blvd, Suite 200
Germantown, MD 20874-1115

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC03992 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1154551844

Brinton B. Jackson, P.A.'s National Provider Identifier is 1154551844, issued on Jul 16, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Takoma Park, MD. The record was last updated on Jul 16, 2009.