Individual
MRS. JACQUELINE AMANIAMPONG ANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
9244 HOMESTRETCH CT, LAUREL, MD 20723-1875
(240) 308-2530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2016030727
MD
363LG0600X
Gerontology Nurse Practitioner
2016030727
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
2016030727
MD
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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