Individual
MRS. JACQUETTA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4200 ALTAMONT PL, WHITE PLAINS, MD 20695-3052
(866) 389-2727
Mailing address
14695 GALLANT LN, WALDORF, MD 20601-4440
(301) 632-9835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R128536
MD
Other
Enumeration date
09/04/2015
Last updated
09/16/2015
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