Individual
JESSICA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15 E FREDERICK ST, WALKERSVILLE, MD 21793-8234
(240) 215-6310
Mailing address
15 E FREDERICK ST, WALKERSVILLE, MD 21793-8234
(240) 215-6310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC003953
MD
363LF0000X
Family Nurse Practitioner
F07182029
MD
Other
Enumeration date
07/31/2018
Last updated
12/08/2021
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