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MRS. HEIDI LYNN JACKSON CPNP
NPI 1831176239
Nurse Practitioner - Pediatrics in Fort George G Meade, MD

Active since December 27, 2005
USAMEDDAC, 2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755(410) 287-3417 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Heidi Lynn Jackson Cpnp NPPES

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

MRS. HEIDI LYNN JACKSON CPNP (NPI 1831176239) is an individual pediatrics provider in Fort George G Meade, Maryland, licensed in Maryland (R070129) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1831176239
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. HEIDI LYNN JACKSONCredential: CPNP
Location AddressUSAMEDDAC, 2480 LLEWELLYN AVEFort George G Meade, MD 20755
Mailing Address50 Piney Ridge LnNorth East, MD 21901-2101 · (410) 287-3417
Phone(410) 287-3417
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1831176239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R070129
USAMEDDAC, Fort George G Meade, MD 20755
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Other Providers at the Same Location NPPES 15

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

TONY SERRANO-PADIN M.D.
Family Medicine
USAMEDDAC, 2480 LLEWELLYN AVE.
FORT GEORGE G. MEADE, MD 20755
Anne Arundel County (410) 278-5475
DR. JESSE HARRIS MONESTERSKY D.O.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
USAMEDDAC, 2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (808) 913-8111
DR. MICHAEL KIEL SRACIC M.D.
Preventive Medicine (Occupational Medicine)
USAMEDDAC, 2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8392
DR. WAYNE THOMAS FRANK MD
Internal Medicine (Allergy & Immunology)
USAMEDDAC, 2480 LLEWELLYN AVE
FORT GEORGE G. MEADE, MD 20755
Anne Arundel County (410) 278-5475
RAJESH DEVKOTA FNP
Nurse Practitioner (Family)
USAMEDDAC, 2480 LLEWELLYN AVENUE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (410) 278-5475
DR. SHAUNA JEAN VIDAURRI AUD
Audiologist
USAMEDDAC, 2480 LLEWELLYN AVENUE
FORT GEORGE G. MEADE, MD 20755
Anne Arundel County (503) 333-8959
MARK J KRIST LCSW
Social Worker (Clinical)
USAMEDDAC, 2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8136
CRISTINA RUMBAOA BAGAYMETCALF CRNP-FAMILY
Nurse Practitioner (Family)
USAMEDDAC, 2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (410) 278-5475

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 Heidi Jackson's NPI number?

The NPI number for Heidi Jackson is 1831176239. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Heidi Jackson located?

Heidi Jackson practices at Usameddac 2480 Llewellyn Ave, Fort George G Meade, MD 20755. The listed phone number is (410) 287-3417.

What is Heidi Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Heidi Jackson was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.