Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YVONNE MARIE JACKSON, M.D.

Active Sole Proprietor

DR. YVONNE MARIE JACKSON, M.D. is a Pediatrics healthcare provider located in BOWIE, Maryland. NPI 1790786101 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BOWIE, MD

Registration Details

NPI Number: 1790786101
Provider Type: Individual
Gender: Female
NPI Issued: Aug 9, 2005 (21.024918147834 yrs)
Last Updated: Apr 10, 2011
License: D50706 (MD)
Sole Proprietor: Yes

Practice Information

Address: 14300 GALLANT FOX LN

SUITE 203

BOWIE, MD, 207154003
Browse MD providers · Browse ZIP 20715
Phone: 3012624784
Fax: 3012622767
Primary Specialty: Pediatrics
208000000X

Other Pediatrics Providers in BOWIE, MD

Name	Credential	NPI
DR. AMINA T WATSON	M.D.	1083610760
DR. TONI LYNN THOMPSON-CHITTAMS	D.O	1144229667
DR. CYNTHIA HEATHER CAMPBELL	M.D.	1740277458
DR. VALORIE ANLAGE	M.D.	1275513053
DR. JEANNINE AVIS CLARK	MD	1457389892
DR. BRENDA KAREN PETTUS-BELLAMY	MD	1285648667

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.