Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAIMI GRANT JACKSON
Active Sole ProprietorJAIMI GRANT JACKSON is a Physical Therapist Assistant healthcare provider located in SUITLAND, Maryland. NPI 1093305054 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · SUITLAND, MD
Registration Details
- NPI Number
- 1093305054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2021 (5.5732620408032 yrs)
- Last Updated
- Jan 24, 2021
- License
-
445047 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5000 PENNSYLVANIA AVE STE JSUITLAND, MD, 207461060Browse MD providers · Browse ZIP 20746
- Phone
- 3014559125
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in SUITLAND, MD
| Name | Credential | NPI |
|---|---|---|
| BARRY STATEN | HAIR LOSS SPECIALIST | 1275168312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.