Individual
JACQUELINE SERGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4629 GLASGOW DR, ROCKVILLE, MD 20853-3036
(301) 787-3555
Mailing address
4629 GLASGOW DR, ROCKVILLE, MD 20853-3036
(301) 787-3555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1038653
DC
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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