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NPI Code Detail

MEDICARE: MEGHAN E JACKSON

MEDICARE: MEGHAN E JACKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1770173221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN E JACKSON
Provider Business Mailing Address
First Line : 4 W MAIN ST
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6290
Country : US
Telephone Number : 301-381-4586
Fax Number :
Provider Business Practice Location Address
First Line : 4 W MAIN ST
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6290
Country : US
Telephone Number : 301-381-4586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2021
Last Update Date : 05/09/2025

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Directions to “ MEGHAN E JACKSON ” Practice Location

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