Individual
JERISE ATOCK AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-3000
Mailing address
111 TUSCANY DR, MIDDLETOWN, DE 19709-7855
(302) 373-6887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
845356
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AC005200
MD
Other
Enumeration date
03/25/2020
Last updated
06/16/2025
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