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

Andria Jackson

Individual provider Prosthetics Case Management · NPI 1073138285

Andria Jackson is a Prosthetics Case Management in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020

Practice location Address checks out

9560 Marlboro Pike Ste 105
Upper Marlboro, MD 20772-3770
Phone: (301) 535-7542
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 407120 (MD)

Record details

NPI number1073138285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address9560 Marlboro Pike Ste 105, Upper Marlboro, MD 20772-3770

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