Dr. Yvonne Marie Jackson, M.D.
Pediatrics in Bowie, MD. Individual provider (NPI-1).
NPI number1790786101
StatusActive
Last updated in NPPESApr 10, 2011
Details
- NPI
- 1790786101
- Entity type
- Individual (NPI-1)
- Name
- Dr. Yvonne Marie Jackson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2005
- Last updated
- Apr 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | D50706 | MD | Yes |
Practice location
14300 Gallant Fox LnSuite 203
Bowie, MD 20715-4003
Phone 301-262-4784 · Fax 301-262-2767
Mailing address
14300 Gallant Fox LnSuite 203
Bowie, MD 20715-4003
Phone 301-262-4784 · Fax 301-262-2767
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