PRUDENCE JACKSON MD
NPI 1548203482
Emergency Medicine in Baltimore, MD

Active since June 14, 2006
900 CATON AVE, BALTIMORE, MD 21229(410) 368-2014 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Prudence Jackson Md NPPES

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

PRUDENCE JACKSON MD (NPI 1548203482) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D37659) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1548203482
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePRUDENCE JACKSONCredential: MD
Location Address900 CATON AVEBaltimore, MD 21229-5201
Mailing Address10515 Bill Lilly CtLaurel, MD 20723-1291 · (301) 953-2747
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1548203482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MD · D37659
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
900 CATON AVE, Baltimore, MD 21229

Other Identifiers 4

OtherP00213513MD · Railroad Medicare
Medicare UPINE40132MD
Other60609101MD · Blue Cross
Medicare ID-Type Unspecified180MJ824MD

Accepted Insurance

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.

Anesthesiology
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE, MAILSTOP 134
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229
Specialist
900 CATON AVE
BALTIMORE, MD 21229
Family Medicine
900 CATON AVE, MAILBOX #081
BALTIMORE, MD 21229
Internal Medicine (Hematology & Oncology)
900 CATON AVE
BALTIMORE, MD 21229
Nurse Anesthetist, Certified Registered
900 CATON AVE
BALTIMORE, MD 21229
Emergency Medicine
900 CATON AVE
BALTIMORE, MD 21229

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 Prudence Jackson's NPI number?

The NPI number for Prudence Jackson is 1548203482. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Prudence Jackson located?

Prudence Jackson practices at 900 Caton Ave, Baltimore, MD 21229. The listed phone number is (410) 368-2014.

What is Prudence Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Prudence Jackson accept?

Health plans from Molina Healthcare list Prudence Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prudence Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.