Individual
JESSICA DURKIN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6000 EXECUTIVE BLVD STE 625, NORTH BETHESDA, MD 20852
(240) 314-7080
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024169873
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023376043
MEDICARE
VA
05
—
1023376043
—
VA
05
—
7006174
—
NC
Enumeration date
04/27/2012
Last updated
05/29/2018
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