Jacksons Jubilee Llc

Specialty details in registry · Baltimore, MD

Call (443) 653-9506 Directions

At a glance

4317 Harford Rd, Baltimore, MD 21214-3118

NPPES record updated Jan 2, 2026. Public records can lag behind changes at a practice.

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Practice location

4317 Harford Rd
Baltimore, MD 21214-3118

Professional details: NPI, taxonomy & registry record

NPI1588520563

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 101YP2500X
Enumeration date: Jan 2, 2026
Record updated: Jan 2, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4317 Harford Rd
Baltimore, MD 21214-3118

Phone: (443) 653-9506
Fax: (410) 275-0992

Mailing address

4317 HARFORD RD

BALTIMORE, MD 212143118

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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