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MR. NATHANIEL JACKSON JR.
NPI 1568120293
Home Health Aide in Waldorf, MD

Active since November 30, 2021
2935 CHALKSTONE PL, WALDORF, MD 20601(240) 501-9552 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Nathaniel Jackson Jr. NPPES

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

MR. NATHANIEL JACKSON JR. (NPI 1568120293) is an individual home health aide in Waldorf, Maryland and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1568120293
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMR. NATHANIEL JACKSON JR.
Location Address2935 CHALKSTONE PLWaldorf, MD 20601-4997
Mailing Address3717 Lumar DrFt Washington, MD 20744-1861
Phone(240) 501-9552
Sole ProprietorYes
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1568120293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
2935 CHALKSTONE PL, Waldorf, MD 20601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nathaniel Jackson's NPI number?

The NPI number for Nathaniel Jackson is 1568120293. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Nathaniel Jackson located?

Nathaniel Jackson practices at 2935 Chalkstone Pl, Waldorf, MD 20601. The listed phone number is (240) 501-9552.

What is Nathaniel Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Jackson was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.