Jean Jacklin
PERSONAL PHYSICIAN CARE, LLC


Address: 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Phone: 4105312355

Jean Jacklin (NPI# 1043665094, PAC ID# 4981993649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1043665094
PAC ID by PECOS 4981993649
Professional Enrollment ID I20160519000366
Full Name Jean Jacklin
Organization Legal Name PERSONAL PHYSICIAN CARE, LLC
Address 6334 Cedar Ln
Suite 103
Columbia
MD 21044-3898
Phone Number 4105312355
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3274683289
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210023 ANNE ARUNDEL MEDICAL CENTER

Other Locations

Address Phone Organization
6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 4105312355 PERSONAL PHYSICIAN CARE, LLC

Organization Information

Organization Legal Name PERSONAL PHYSICIAN CARE, LLC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Kathryn Eleanor Scallion Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Elizabeth L Shadis Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Kristin D Burkhardt Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Andrew L Lazris Internal Medicine Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Katherine D Jantac Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Allison P Carew Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Alexandra Budnyk Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Michelle A Klima Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898

Office Location

Street Address 6334 CEDAR LN
SUITE 103
City COLUMBIA
State MD
Zip 21044-3898

Physicians in the same location

Name Specialty Organization Address
Kathryn Eleanor Scallion Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Elizabeth L Shadis Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Kristin D Burkhardt Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Andrew L Lazris Internal Medicine Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Katherine D Jantac Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Allison P Carew Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Alexandra Budnyk Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898
Michelle A Klima Nurse Practitioner Personal Physician Care, LLC 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898

Physicians in the same zip code

Name Specialty Organization Address
Jerome Ross Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Connie Marie Mcrill Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Jeffrey L Wexler Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Marjorie K Warden Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Alexandre F Gauthier Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Richard Malcolm Susel Ophthalmology Physicians Eye Care Center LLC 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044
Lynn Lewis Clinical Social Worker 5222 Harpers Farm Rd, Columbia, MD 21044-1012
Jean L Jerardi Clinical Nurse Specialist 10852 Green Mountain Circle, Columbia, MD 21044-2320
Cory James Hough Physical Therapy Maryland Sportscare and Rehab LLC 5435 Beaverkill Rd, Columbia, MD 21044-2359
Ainsley M Meehan Physical Therapy Maryland Sportscare and Rehab LLC 5435 Beaverkill Rd, Columbia, MD 21044-2359
Find all physicians in zip 21044

Competitor

Search similar physicians

City COLUMBIA
Zip Code 21044
Specialty NURSE PRACTITIONER
City + Specialty COLUMBIA + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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