IndividualActive
Amanda Jackiewicz, PA-C
NPI 1730601949 · Physician Assistant · Odenton, MD
Provider details
- NPI number
- 1730601949
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C06512 (MD)
Practice location
Greater Maryland Pain Management
1130 Annapolis Rd Suite 100
Odenton, MD 21113
Phone: (410) 672-2255
Mailing address
8700 Silver Knoll Dr
Perry Hall, MD 21128-9165
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.