Individual provider · Type 1 NPI

Amanda Lillian Jackson

Student in an Organized Health Care Education/Training Program · Rosedale, MD

NPI number 1497649768 Active

Practice location

9200 Franklin Square Dr
Rosedale, MD 21237-4458

Mailing address

2749 Lenape Way
Easton, PA 18040-7259

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497649768

Amanda Lillian Jackson's National Provider Identifier is 1497649768, issued on Jun 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rosedale, MD. The record was last updated on Jun 3, 2025.