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Individual

JASMINE OPHELIA PEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
11110 MEDICAL CAMPUS RD STE 150, HAGERSTOWN, MD 21742-6755
(301) 665-4825
(301) 665-4826
Mailing address
17355 KILPATRICK CT, HAGERSTOWN, MD 21740-1090
(240) 382-4347

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R183401
MD
363LF0000X
Family Nurse Practitioner
Primary
R183401
MD
363LF0000X
Family Nurse Practitioner
SP033078
PA

Other

Enumeration date
09/30/2014
Last updated
06/12/2025
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