Judy Carlene Jackson, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R041391 Issued in MD

Practice address

10 Davis CT
Glen Burnie, MD 21060-7709

Phone

(410) 424-1761

Fax

(410) 424-1762

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528286705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 MOORGATE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224621",
            "telephone_number": "410-282-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DAVIS CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607709",
            "telephone_number": "410-424-1761",
            "fax_number": "410-424-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JUDY",
        "middle_name": "CARLENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MD",
            "license": "R041391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Robert Izzi, MD
• Vincent Izzi, M.D.
• Amelia Jackson, FNP
• Deairra Jackson
• Jasmine Ashley Jackson, RN
• Lashawnda Jackson, LMSW
• William George Jackson, MD
• Jacques P. Exposito, D.D.S. P.a.
• Farrukh Mahfuz Jalisi, MD
• James C Murphy III MD PA

• School Registered Nurse in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• School Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.