Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Integrative Healthcare

Organization Integrative Medicine Physician · NPI 1073201943

Modern Integrative Healthcare is an Integrative Medicine Physician in Laurel, Maryland. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

9101 Cherry Ln Ste 205
Laurel, MD 20708-1151
Phone: (301) 317-7912
Fax: (301) 498-2094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X

Record details

NPI number1073201943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Schmekia Jackson — Ceo/Owner · (410) 908-4881
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing addressPo Box 648, Bowie, MD 20718-0648