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MRS. ANGELA JACKSON
NPI 1336742469
Prosthetist in Waldorf, MD

Active since November 20, 2020
2164 BONNIE LN, WALDORF, MD 20601(202) 748-1632 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Jun 11, 2024, Nov 20, 2020 (3 updates tracked since 2020).

About Mrs. Angela Jackson NPPES

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

MRS. ANGELA JACKSON (NPI 1336742469) is an individual prosthetist provider in Waldorf, Maryland, licensed in Maryland (231822) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1336742469
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameMRS. ANGELA JACKSON
Location Address2164 BONNIE LNWaldorf, MD 20601-3902
Mailing Address173 Saint Patricks Dr Ste 195Waldorf, MD 20603-5529 · (833) 764-3634
Phone(202) 748-1632
Sole ProprietorNo
Enumeration DateNovember 20, 2020
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1336742469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in MD · 231822
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2164 BONNIE LN, Waldorf, MD 20601
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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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1336742469. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Angela Jackson located?

Angela Jackson practices at 2164 Bonnie Ln, Waldorf, MD 20601. The listed phone number is (202) 748-1632.

What is Angela Jackson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.