NPI 1386319622

Vera Lorraine Jackson

Practitioner Adult Care Home Facility Baltimore, MD

Practice location

Address: 3905 White Ave, Baltimore, MD 21206
Phone: (443) 325-6600

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Maryland →

Registry record

NPI: 1386319622
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2021
Record last updated: 10 Aug 2021

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.