Individual
MRS. JEANNETTE CAROL QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRNP
Contact information
Practice address
402 MARVEL CT, EASTON, MD 21601-4052
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R130486
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R130486
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445209700
—
MD
Enumeration date
04/09/2008
Last updated
04/03/2023
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