Individual
DR. JESSICA ROSE DURKEE-SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 CENTER DRIVE, BETHESDA, MD 20814
(301) 272-0628
Mailing address
10 CENTER DRIVE, BUILDING 10-CRC RM4-1479, BETHESDA, MD 20814
(301) 272-0628
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD046122
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD046122
MEDICAL LICENSE
DC
Enumeration date
03/27/2012
Last updated
09/23/2020
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