DEBORAH JACKSON CRNP
NPI 1356436273
Nurse Practitioner - Adult Health in Columbia, MD

Active since October 04, 2006
8875 CENTRE PARK DR, SUITE D, COLUMBIA, MD 21045(410) 730-1000(410) 730-8615 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deborah Jackson Crnp NPPES

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

DEBORAH JACKSON CRNP (NPI 1356436273) is an individual adult health provider in Columbia, Maryland, licensed in Maryland (R048240) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1356436273
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDEBORAH JACKSONCredential: CRNP
Location Address8875 CENTRE PARK DR, SUITE DColumbia, MD 21045-2114
Mailing Address8875 Centre Park Dr, Suite DColumbia, MD 21045-2114 · (410) 730-1000 · Fax (410) 730-8615
Fax(410) 730-8615
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 1, 2008
NPI 1356436273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MD · R048240
8875 CENTRE PARK DR, Columbia, MD 21045

Other Identifiers 4

Other63697401MD · Blue Shield
OtherC4280003DC · Blue Shield
Medicare PIN130249
Medicare PIN136871YLZ

Other Providers at the Same Location NPPES 7

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

Clinic/Center
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Internal Medicine (Gastroenterology)
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Anesthesiology
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Surgery
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Internal Medicine (Gastroenterology)
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Nurse Practitioner (Adult Health)
8875 CENTRE PARK DR, SUITE D
COLUMBIA, MD 21045
Clinic/Center (Endoscopy)
8875 CENTRE PARK DR, STE D
COLUMBIA, MD 21045

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 Deborah Jackson's NPI number?

The NPI number for Deborah Jackson is 1356436273. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Deborah Jackson located?

Deborah Jackson practices at 8875 Centre Park Dr Suite D, Columbia, MD 21045. The listed phone number is (410) 730-1000.

What is Deborah Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Deborah Jackson was last updated on December 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.