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Organization

WALTER REED NATIONAL MILITARY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY L FENNEWALD (DEPARTMENT CHIEF, MSSO)
(301) 295-2737
Entity
Organization

Contact information

Practice address
4954 N PALMER RD, BLDG 19, 3RD FLOOR, BETHESDA, MD 20889-5630
(301) 319-2900
Mailing address
4954 N PALMER RD, BETHESDA, MD 20889-5630
(301) 319-2900

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
02/06/2026
Last updated
02/06/2026
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