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

Jaimi Grant Jackson

Individual provider Prosthetics Case Management · NPI 1093305054

Jaimi Grant Jackson is a Prosthetics Case Management in Suitland, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021
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Practice location Address checks out

5000 Pennsylvania Ave Ste J
Suitland, MD 20746-1060
Phone: (301) 455-9125
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 445047 (MD)

Record details

NPI number1093305054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2021
Last updated in NPPESJanuary 24, 2021
Certification dateJanuary 24, 2021
Mailing address5000 Pennsylvania Ave Ste J, Suitland, MD 20746-1060

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