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

Mr. Phillip Anthony Jackson Jr., CRNP

Individual provider Nurse Practitioner · NPI 1992435036

Mr. Phillip Anthony Jackson Jr., CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2021, 5 years ago. Practices with University of Maryland Midtown Health Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-8667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R230527 (MD)

Record details

NPI number1992435036
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Maryland Midtown Health Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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