Regina Jackson
Regina Jackson is a Community Health Worker in Frederick, Maryland. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
650 Heather Ridge Dr Unit LFrederick, MD 21702-8814
Phone: (240) 656-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1588253884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
| Mailing address | 650 Heather Ridge Dr Unit L, Frederick, MD 21702-8814 |
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