Maia M Jackson M.D.

NPI 1144224999 - Pediatrics - 208000000X

NPI Details
NPI 1144224999
Gender Female
Enumeration Date 06/09/2005
Last Updated 12/15/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
10701 ROSEMARY DR
MANASSAS VA, 20109-7282, US
Phone (703) 257-3000
Fax (703) 257-3057
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2422
Fax
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101236606
Remove 1144224999 NPI Number
 

According to our database, Dr. Maia M Jackson M.D. NPI is 1144224999, taxonomy code is 208000000X and license number is 0101236606, license state is located at Virginia. Maia M Jackson M.D. physically located at 10701 Rosemary Dr, Manassas VA, 20109-7282. NPI Number Maia M Jackson M.D. has the Individual type.

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1144224999 NPI number is provided on an as is basis without warranty of any kind. 1144224999 is maintained by the National Plan & Provider Enumeration System. The contents of Maia M Jackson M.D. are for informational purposes only.