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Individual

JESSICA ANN PUDLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(301) 691-4987
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
939119
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN1062153
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406089
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1062153
DC

Other

Enumeration date
07/12/2022
Last updated
12/20/2024
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