Individual provider · Type 1 NPI
Judy Carlene Jackson, RN
School Registered Nurse · Glen Burnie, MD
NPI number
1528286705
Active
Practice location
10 Davis Ct
Glen Burnie, MD 21060-7709
Fax (410) 424-1762
Mailing address
2749 Moorgate Rd
Baltimore, MD 21222-4621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | R041391 (MD) |
School Registered Nurse: Definition to come...
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About NPI 1528286705
Judy Carlene Jackson, RN's National Provider Identifier is 1528286705, issued on Apr 23, 2007. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 8, 2007.