Individual provider · Type 1 NPI
Kendra Joy Jackson, MD
Pediatric Emergency Medicine (Pediatrics) Physician · Baltimore, MD
NPI number
1649776469
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 600 N Wolfe St, Baltimore, MD 21287-0005 · (410) 955-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | D0099966 (MD) |
| Pediatric Emergency Medicine (Pediatrics) Physician Primary | 2080P0204X | D0099966 (MD) |
Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.
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About NPI 1649776469
Kendra Joy Jackson, MD's National Provider Identifier is 1649776469, issued on Apr 2, 2018. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Baltimore, MD. The record was last updated on Sep 6, 2024.