Healthcare Provider Details

I. General information

NPI: 1538071816
Provider Name (Legal Business Name): JEROME SCHOOL-PARKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6336 DAMASCUS RD
GAITHERSBURG MD
20882-2626
US

IV. Provider business mailing address

PO BOX 1001
HAGERSTOWN MD
21741-1001
US

V. Phone/Fax

Practice location:
  • Phone: 202-339-1789
  • Fax:
Mailing address:
  • Phone: 202-339-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: