Individual
JESSICA AIMEE GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12420 MILESTONE CENTER DR STE 200, GERMANTOWN, MD 20876-7111
(240) 686-2300
Mailing address
418 LONDON ST APT 3, PORTSMOUTH, VA 23704-2547
(323) 253-3831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AC002866
MD
Other
Enumeration date
11/26/2019
Last updated
10/04/2021
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