DR. YVONNE MARIE JACKSON M.D. NPI 1790786101

NPI Information

  • NPI: 1790786101
  • Provider Name: DR. YVONNE MARIE JACKSON, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 14300 GALLANT FOX LN
    SUITE 203
    BOWIE, MD
    ZIP 20715
  • Phone: (301) 262-4784

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NPI Details

DR. Yvonne Marie Jackson, M.D. is a pediatrics in Bowie, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Yvonne Marie Jackson, M.D. NPI is 1790786101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14300 GALLANT FOX LN
SUITE 203
BOWIE, MD
ZIP 20715-003
Phone: (301) 262-4784
Fax: (301) 262-2767

The enumeration date for this NPI number is 8/9/2005 and was last updated on 4/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsD50706MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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