Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMANDA MARY JACKIEWICZ, PA-C
ActiveMS. AMANDA MARY JACKIEWICZ, PA-C is a Physician Assistant healthcare provider located in ODENTON, Maryland. NPI 1730601949 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ODENTON, MD
Registration Details
- NPI Number
- 1730601949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2017 (9.068566839768 yrs)
- Last Updated
- Oct 24, 2018
- Licenses
-
C06512 (MD)C0006512 (MD)
Practice Information
- Address
-
GREATER MARYLAND PAIN MANAGEMENT1130 ANNAPOLIS RD SUITE 100ODENTON, MD, 21113Browse MD providers · Browse ZIP 21113
- Phone
- 4106722255
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ODENTON, MD
| Name | Credential | NPI |
|---|---|---|
| MS. JUDITH M MELCHIORRE | PAC | 1467564880 |
| OLABISI L EMENANJO | PA-C | 1679723274 |
| MRS. CORINNE R PONZI | PA-C | 1891014999 |
| CHRISTINA MARIE THURSTON | PA-C | 1407147366 |
| CARA ELIZABETH ARCIDIACONO | PA-C | 1801238902 |
| LILIT VARDANYAN | PA | 1427485515 |
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.