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Contact Information

JANE E JACKSON, MD
3512 SANDY CT
KENSINGTON, MD20895-1420
 Phone: 301-466-2562
 Fax: 301-949-9666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JANE E JACKSON · (Female)

NPI # 1982811709
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D0028973
  • Other MAMSI MAPSI 385639
  • DC Other K1240001 CAREFIRST BCBS
  • MD Other 343BJE CAREFIRST BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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