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

MRS. HEIDI LYNN JACKSON, CPNP

Active

MRS. HEIDI LYNN JACKSON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in FORT GEORGE G MEADE, Maryland. NPI 1831176239 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · FORT GEORGE G MEADE, MD

Registration Details

NPI Number
1831176239
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2005 (20.621647756065 yrs)
Last Updated
Feb 26, 2025
License
R070129 (MD)

Practice Information

Address
USAMEDDAC
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD, 20755
Browse MD providers · Browse ZIP 20755
Phone
4102873417
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
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.