WANDA ELIZABETH JACKSON
NPI 1497069900
Counselor - Professional in Forest Hill, MD

Active since July 27, 2010
2018 ROCK SPRING RD, A6, FOREST HILL, MD 21050(410) 838-2493(410) 838-2547 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Elizabeth Jackson NPPES

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

WANDA ELIZABETH JACKSON (NPI 1497069900) is an individual professional provider in Forest Hill, Maryland, licensed in Maryland (LGP3349) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1497069900
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWANDA ELIZABETH JACKSON
Location Address2018 ROCK SPRING RD, A6Forest Hill, MD 21050-2631
Mailing Address4006 Jeffery CtAbingdon, MD 21009-3073 · (410) 515-0443
Fax(410) 838-2547
Sole ProprietorYes
Enumeration DateJuly 27, 2010
NPI 1497069900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LGP3349
2018 ROCK SPRING RD, Forest Hill, MD 21050

Other Names 1

Professional Name (2)Wanda Jackson Lgpc

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Marriage & Family Therapist
2018 ROCK SPRING RD, SUITE A6
FOREST HILL, MD 21050
Dentist (Periodontics)
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Speech-Language Pathologist
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Dentist (General Practice)
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Dentist
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Speech-Language Pathologist
2018 ROCK SPRING RD
FOREST HILL, MD 21050
Genetic Counselor, MS
2018 ROCK SPRING RD, SUITE A6
FOREST HILL, MD 21050

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 Wanda Jackson's NPI number?

The NPI number for Wanda Jackson is 1497069900. It was assigned to this individual provider in the NPPES registry on July 27, 2010. The provider is also known as Wanda Jackson Lgpc.

Where is Wanda Jackson located?

Wanda Jackson practices at 2018 Rock Spring Rd A6, Forest Hill, MD 21050. The listed phone number is (410) 838-2493.

What is Wanda Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wanda Jackson was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.