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ANDRIA JACKSON
NPI 1073138285
Specialist - Prosthetics Case Management in Upper Marlboro, MD

Active since June 12, 2020
9560 MARLBORO PIKE STE 105, UPPER MARLBORO, MD 20772(301) 535-7542 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andria Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRIA JACKSON (NPI 1073138285) is an individual prosthetics case management provider in Upper Marlboro, Maryland, licensed in Maryland (407120) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1073138285
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameANDRIA JACKSON
Location Address9560 MARLBORO PIKE STE 105Upper Marlboro, MD 20772-3770
Mailing Address9560 Marlboro Pike Ste 105Upper Marlboro, MD 20772-3770 · (301) 535-7542
Phone(301) 535-7542
Sole ProprietorYes
Enumeration DateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1073138285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in MD · 407120
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
9560 MARLBORO PIKE STE 105, Upper Marlboro, MD 20772
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Other Identifiers 1

Other407120MD · Cosmetology Licence

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATURAL TOUCH HAIR STUDIO INC
Case Management
9560 MARLBORO PIKE STE 105
UPPER MARLBORO, MD 20772
Prince George's County (301) 535-7542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andria Jackson's NPI number?

The NPI number for Andria Jackson is 1073138285. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Andria Jackson located?

Andria Jackson practices at 9560 Marlboro Pike Ste 105, Upper Marlboro, MD 20772. The listed phone number is (301) 535-7542.

What is Andria Jackson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Andria Jackson was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.