KEVA JACKSON, FNP-BC, PMHNP-BC
Nurse Practitioner - Family
Active
Individual
NPI: 1144963059
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | R151343 (MD) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | No | R151343 (MD) |
Frequently Asked Questions
NPI 1144963059 is the National Provider Identifier for KEVA JACKSON, FNP-BC, PMHNP-BC, a Nurse Practitioner - Family provider located in Baltimore, MD. This NPI was enumerated on April 18, 2022.
KEVA JACKSON, FNP-BC, PMHNP-BC practices at 2300 GARRISON BLVD, Baltimore, MD 21216.
Quick Facts
- NPI
- 1144963059
- Type
- Individual
- Enumerated
- Apr 18, 2022
- Last Updated
- Dec 1, 2024
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