Individual
JULIENNE EBONGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10313 GEORGIA AVE STE 307, SILVER SPRING, MD 20902-5006
(301) 754-2222
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R205045
MD
Other
Enumeration date
01/06/2020
Last updated
09/10/2025
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