Individual provider · Type 1 NPI

Angela Jackson

Prosthetist · Waldorf, MD

NPI number 1336742469 Active

Practice location

2164 Bonnie Ln
Waldorf, MD 20601-3902

Mailing address

173 Saint Patricks Dr Ste 195
Waldorf, MD 20603-5529

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000X231822 (MD)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

About NPI 1336742469

Angela Jackson's National Provider Identifier is 1336742469, issued on Nov 20, 2020. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Waldorf, MD. The record was last updated on Jun 18, 2024.