person
Becky A Jacks
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1245911767

Becky A Jacks is a Psychiatric/Mental Health Nurse Practitioner based in Waldorf, MD and is specialized in Psychiatric/Mental Health. Becky A Jacks practices in Waldorf, MD. The NPI Number for Becky A Jacks is 1245911767 and holds a License No. R232693 (Maryland).

The current practice location address for Becky A Jacks is 11100 Billingsley Rd, Waldorf, MD and can be reached out via phone at 301-357-4199.

Location: 11100 Billingsley Rd, Waldorf, MD, 20602-3400
person
Provider Profile Details
NPI Number
1245911767
Provider Name
Becky A Jacks
Credential
Provider Entity Type
Individual
Gender
Female
Address
11100 Billingsley Rd, Waldorf, MD, 20602-3400
Phone Number
301-357-4199
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11100 Billingsley Rd
City
State
Zip
20602-3400
Phone Number
301-357-4199
Fax Number
person
Provider Business Mailing Address Details
Address
11100 Billingsley Rd
City
State
Zip
20602-3400
Phone Number
301-357-4199
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R232693 (Maryland)
Definition
Definition to come...
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