Individual provider · Type 1 NPI
Becky A. Jacks
Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
NPI number
1245911767
Active
Practice location
11100 Billingsley Rd
Waldorf, MD 20602-3400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R232693 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245911767
Becky A. Jacks's National Provider Identifier is 1245911767, issued on Jul 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on Jul 27, 2023.