Individual
JESSICA DE GRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6201 GREENBELT ROAD, SUITE L1, COLLEGE PARK, MD 20740
(301) 346-1900
Mailing address
6201 GREENBELT RD, SUITE L1, BERWYN HEIGHTS, MD 20740-2354
(301) 345-1900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R181291
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R181291
CRNP PEDIATRIC LISENCE
MD
Enumeration date
12/02/2014
Last updated
12/29/2015
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