Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE IVERSON
Active Sole ProprietorJACQUELINE IVERSON is a Point of Service healthcare provider located in TEMPLE HILLS, Maryland. NPI 1699202259 is currently active in the NPPES registry. Verify at CMS.
Point of Service · TEMPLE HILLS, MD
Registration Details
- NPI Number
- 1699202259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2017 (9.0653889244447 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4400 STAMP RD STE 104TEMPLE HILLS, MD, 207486727Browse MD providers · Browse ZIP 20748
- Phone
- 2025692990
- Primary Specialty
-
Point of Service
305S00000X
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.