MR. Anthony Jackson is a student in an organized health care education training program in Baltimore, MD. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Anthony Jackson NPI is 1093121873. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14 S BROADWAY
BALTIMORE, MD
ZIP 21231-712
Phone: (410) 276-1773
The enumeration date for this NPI number is 7/1/2014 and was last updated on 7/1/2014.