Individual
DR. JENNIFER LEIGH TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
11161 NEW HAMPSHIRE AVE STE 301, SILVER SPRING, MD 20904-2606
(301) 681-7101
Mailing address
14400 OAKVALE ST, ROCKVILLE, MD 20853-2131
(301) 502-3460
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R220912
MD
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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