Jackson, Yvonne Marie

Jackson, Yvonne Marie is an sole proprietor health care provider with primary practice located at 14300 Gallant Fox Ln Suite 203, Bowie MD 20715-4003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Yvonne Marie can be contacted via phone (301) 262-4784.

Contact Information

Primary practice address
14300 Gallant Fox Ln Suite 203 Bowie MD 20715-4003
Phone: (301) 262-4784
Fax: (301) 262-2767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D50706 Maryland

Profile Details

NPI number 1790786101
LBN Legal business name Jackson, Yvonne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Apr 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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