Jackson, Joyce Jacquetta

Jackson, Joyce Jacquetta is an individual health care provider with primary practice located at 3450 Old Washington Road Suite 202, Waldorf MD 20602-3248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Joyce Jacquetta can be contacted via phone (301) 645-3590.

Contact Information

Primary practice address
3450 Old Washington Road Suite 202 Waldorf MD 20602-3248
Phone: (301) 645-3590
Fax: (301) 705-1941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R109047 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024167148 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 622905 California

Profile Details

NPI number 1932377702
LBN Legal business name Jackson, Joyce Jacquetta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Feb 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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