Amanda Lillian Jackson, is a
Student In An Organized Health Care Education/training Program based in Rosedale, Maryland. Amanda Lillian Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
9200 Franklin Square Dr, Rosedale, Maryland. She can be reached at her office (for appointments etc.) via phone at
(908) 310-3024.
NPI number for Amanda Lillian Jackson is 1497649768 and her current mailing address is 2749 Lenape Way, Easton, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497649768.
Healthcare Provider's Profile
Full Name | Amanda Lillian Jackson |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 9200 Franklin Square Dr, Rosedale, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497649768
- Provider Enumeration Date: 06/03/2025
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Amanda Lillian Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497649768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Lillian Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Lillian Jackson, 2749 Lenape Way, Easton, PA 18040-7259 Ph: (908) 310-3024 | Amanda Lillian Jackson, 9200 Franklin Square Dr, Rosedale, MD 21237-4458 Ph: (908) 310-3024 |
Reviews and Comments