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Sherrell Jackson
Prosthetic/Orthotic Supplier in Baltimore, Maryland
NPI 1174250518

Sherrell Jackson is a Prosthetic/Orthotic Supplier based in Owings Mills, MD. Sherrell Jackson practices in Baltimore, MD. The NPI Number for Sherrell Jackson is 1174250518 and holds a License No. (Maryland).

The current practice location address for Sherrell Jackson is 5441 Baltimore National Pike Ste 4B, Baltimore, MD and can be reached out via phone at 443-516-7682.

Location: 5441 Baltimore National Pike Ste 4B, Baltimore, MD, 21117-4062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174250518
Provider Name
Sherrell Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5441 Baltimore National Pike Ste 4B, Baltimore, MD, 21117-4062
Phone Number
443-516-7682
Fax Number
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5441 Baltimore National Pike Ste 4B
City
Baltimore
State
Maryland
Zip
21229-2102
Phone Number
443-516-7682
Fax Number
person
Provider Business Mailing Address Details
Address
5441 Baltimore National Pike Ste 4B
City
Baltimore
State
Maryland
Zip
21229-2102
Phone Number
443-516-7682
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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