NPI 1003193947

Dianne Regina Jackson, MD

Practitioner General Practice Physician Owings Mills, MD

Practice location

Address: 9601 Reistertown Rd, Owings Mills, MD 21117
Phone: (301) 352-9763
Mailing address: P.O. Box (561), Lanham, MD 20703

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence D0039496 (MD)

Other General Practice providers in Maryland →

Registry record

NPI: 1003193947
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2011
Record last updated: 7 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.