# JAD WOUND CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891440566
- **Authorized official:** ADAMA PANDA CRNP (OWNER)
- **Authorized official phone:** (240) 533-1395

## Contact information

- **Practice address:** 10463 OWEN BROWN RD, COLUMBIA, MD 21044-3835
- **Practice address phone:** (301) 660-5654
- **Mailing address:** 10320 WILDE LAKE TER, COLUMBIA, MD 21044-2529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 163WX1500X | Ostomy Care Registered Nurse | — | NULL | — |
| 163WX1500X | Ostomy Care Registered Nurse | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/22/2022