LERIN JACKSON

RANDALLSTOWN, MD
NPI1336779578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R200117)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
LERIN JACKSON PMHNP-BC
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 443-488-3645
Mailing Address
LERIN JACKSON PMHNP-BC
1925 HILLENWOOD RD
BALTIMORE, MD 21239-3620
Phone number: 443-488-3645
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