Individual
JESSICA JANISHESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
504 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5942
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC005514
MD
Other
Enumeration date
05/29/2023
Last updated
06/19/2023
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