# RFOM NURSE PRACTITIONER CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Healthcare Nurse Practitioner Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669723961
- **Authorized official:** STELLA K JEFFERIES CRNP (CEO)
- **Authorized official phone:** (240) 447-3204

## Contact information

- **Practice address:** 8238 GEORGIA AVE, SILVER SPRING, MD 20910-4516
- **Practice address phone:** (240) 447-3204
- **Practice address fax:** (301) 587-3204
- **Mailing address:** 9656 BRASSIE WAY, MONTGOMERY VILLAGE, MD 20886-1910
- **Mailing address phone:** (240) 447-3204
- **Mailing address fax:** (301) 587-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | R161889 | MD | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012