Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAINTY J JACKSON, D. O.
Active Sole ProprietorDAINTY J JACKSON, D. O. is a Family Medicine healthcare provider located in WALDORF, Maryland. NPI 1194765834 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WALDORF, MD
Registration Details
- NPI Number
- 1194765834
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (20.16028590972 yrs)
- Last Updated
- Feb 8, 2019
- License
-
H0058218 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11315 PEMBROOKE SQ STE 112WALDORF, MD, 206034806Browse MD providers · Browse ZIP 20603
- Phone
- 3018853350
- Fax
- 2402223899
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| ROBERT TIMOTHY PACE | MD | 1326030040 |
| DR. MICHAEL P. DALGETTY | M.D. | 1831177419 |
| MELINDA LEE SUTTON | M.D. | 1841231107 |
| PAUL MICHAEL WILSON | M.D. | 1467475012 |
| DR. GEORGIA DELAROSA CU | MD | 1629127824 |
| SOYINI AYANNA MCCATTY | M.D. | 1497804769 |
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.