Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACALYN CECELIA BLACKWELL-WHITE, M.D.
Active Sole ProprietorDR. JACALYN CECELIA BLACKWELL-WHITE, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in RANDALLSTOWN, Maryland. NPI 1548355506 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · RANDALLSTOWN, MD
Registration Details
- NPI Number
- 1548355506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.887603630133 yrs)
- Last Updated
- Apr 4, 2019
- License
-
D35187 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5400 OLD COURT RD STE 300BRANDALLSTOWN, MD, 211335100Browse MD providers · Browse ZIP 21133
- Phone
- 4105217337
- Fax
- 4105217377
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
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.