Individual provider · Type 1 NPI

Joyce Jacquetta Jackson, NP

Nurse Practitioner · Waldorf, MD

NPI number 1932377702 Active

Practice location

3450 Old Washington Road, Suite 202
Waldorf, MD 20602-3248

Fax (301) 705-1941

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR109047 (MD)
Nurse Practitioner 363L00000X0024167148 (VA)
Nurse Practitioner 363L00000X622905 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1932377702

Joyce Jacquetta Jackson, NP's National Provider Identifier is 1932377702, issued on Feb 14, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waldorf, MD. The record was last updated on Feb 14, 2008.