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Jane E Jackson, MD
Prescribing (Medical) Psychologist in Kensington, Maryland
NPI 1982811709

Jane E Jackson is a Prescribing (Medical) Psychologist based in Kensington, MD and is specialized in Prescribing (Medical). Jane E Jackson practices in Kensington, MD and has the professional credentials of MD. The NPI Number for Jane E Jackson is 1982811709 and holds a License No. D0028973 (Maryland).

The current practice location address for Jane E Jackson is 3512 Sandy Ct, Kensington, MD and can be reached out via phone at 301-466-2562 and via fax at 301-949-9666.

Location: 3512 Sandy Ct, Kensington, MD, 20895-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982811709
Provider Name
Jane E Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3512 Sandy Ct, Kensington, MD, 20895-1420
Phone Number
301-466-2562
Fax Number
301-949-9666
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAMSI MAPSI 01 385639
K1240001 01 DC CAREFIRST BCBS
343BJE 01 MD CAREFIRST BCBS
institution
Provider Business Practice Location Address Details
Address
3512 Sandy Ct
City
Kensington
State
Maryland
Zip
20895-1420
Phone Number
301-466-2562
Fax Number
301-949-9666
person
Provider Business Mailing Address Details
Address
3512 Sandy Ct
City
Kensington
State
Maryland
Zip
20895-1420
Phone Number
301-466-2562
Fax Number
301-949-9666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
D0028973 (Maryland)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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