JEAN JACKLIN

PERSONAL PHYSICIAN CARE, LLC

Dr JEAN JACKLIN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

PERSONAL PHYSICIAN CARE, LLC

6334 CEDAR LN
SUITE 103
COLUMBIA
MD
210443898

Tel: 4105312355

JEAN JACKLIN Information

Npi 1043665094
Pac Id 4981993649
Professional Enrollment Id I20160519000366
Last Name JACKLIN
First Name JEAN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PERSONAL PHYSICIAN CARE, LLC
Group Practice Pac Id 3274683289
Number Of Group Practice Members 8
Line 1 Street Address 6334 CEDAR LN
Line 2 Street Address SUITE 103
Marker Of Address Line 2 Suppression
City COLUMBIA
State MD
Zip Code 210443898
Phone Number 4105312355
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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