Individual
JENNIFER CHRISTIE GOURDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12201 PLUM ORCHARD DR, SILVER SPRING, MD 20904-7803
(301) 618-5500
Mailing address
2101 E JEFFERSON ST STE 6W, ROCKVILLE, MD 20852-4908
(301) 816-5853
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
D82925
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
02/28/2022
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