Individual
MRS. JENNIFER RACHELLE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6700 WISCONSIN AVE, BETHESDA, MD 20815-5302
(866) 389-2727
Mailing address
9950 ROYAL COMMERCE PL, LARGO, MD 20774-1163
(301) 233-8105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R150711
MD
363LF0000X
Family Nurse Practitioner
RN68347
DC
Other
Enumeration date
01/29/2013
Last updated
08/28/2014
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