Individual
JAVONNA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4000
Mailing address
4719 QUEENS GROVE ST, WHITE PLAINS, MD 20695-3483
(301) 638-3851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R189425
MD
363LF0000X
Family Nurse Practitioner
Primary
R-189425
MD
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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