Organization
PRO COGNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA FLETCHER NP (NURSE PRACTITIONER)
(407) 718-7168
Entity
Organization
Contact information
Practice address
6955 MERLE CT, NEW MARKET, MD 21774-6944
(407) 718-7168
Mailing address
6955 MERLE CT, NEW MARKET, MD 21774-6944
(407) 718-7168
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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