Earlene Shavon Jackson

Case Manager/Care Coordinator · Upper Marlboro, MD

Individual Active NPI

NPI number 1851167589

Practice location

7311 Loanda Dr
Upper Marlboro, MD 20772-4274
Phone
(301) 442-5779

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NPI record

NPI
1851167589
Entity type
Individual (Type 1)
Enumeration date
December 4, 2023
Last updated
December 4, 2023
Certified
December 4, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — DC

About Earlene Jackson

Earlene Shavon Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 7311 Loanda Dr, Upper Marlboro, MD 20772-4274. The NPI number 1851167589 was assigned on December 4, 2023 and the record was last updated on December 4, 2023.

Frequently asked questions

What is the NPI number of Earlene Shavon Jackson?

The NPI number is 1851167589.

What is the phone number of Earlene Jackson?

The phone number listed for the practice location is (301) 442-5779.

Where is Earlene Jackson located?

7311 Loanda Dr, Upper Marlboro, MD 20772-4274.

What is the taxonomy code for Earlene Jackson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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