person
Mary Lueben Jackson, PA-C
Medical Physician Assistant in Baltimore, Maryland
NPI 1720216203

Mary Lueben Jackson is a Medical Physician Assistant based in Baltimore, MD and is specialized in Medical. Mary Lueben Jackson practices in Baltimore, MD and has the professional credentials of PA-C. The NPI Number for Mary Lueben Jackson is 1720216203 and holds a License No. C0003990 (Maryland).

The current practice location address for Mary Lueben Jackson is 9000 Franklin Square Dr, Baltimore, MD and can be reached out via phone at 443-777-7046.

Location: 9000 Franklin Square Dr, Baltimore, MD, 21237-3901
person
Provider Profile Details
NPI Number
1720216203
Provider Name
Mary Lueben Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9000 Franklin Square Dr, Baltimore, MD, 21237-3901
Phone Number
443-777-7046
Fax Number
Provider Enumeration Date
06/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9000 Franklin Square Dr
City
State
Zip
21237-3901
Phone Number
443-777-7046
Fax Number
person
Provider Business Mailing Address Details
Address
9000 Franklin Square Dr
City
State
Zip
21237-3901
Phone Number
443-777-7046
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0003990 (Maryland)
Definition
Definition to come...
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