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
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | 231822 (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.