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Organization

RFOM NURSE PRACTITIONER CLINIC, LLC

Active
Other names
Affordable Healthcare Nurse Practitioner Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
STELLA K JEFFERIES CRNP (CEO)
(240) 447-3204
Entity
Organization

Contact information

Practice address
8238 GEORGIA AVE, SILVER SPRING, MD 20910-4516
(240) 447-3204
(301) 587-3204
Mailing address
9656 BRASSIE WAY, MONTGOMERY VILLAGE, MD 20886-1910
(240) 447-3204
(301) 587-3204

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R161889
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050213800
MD
Enumeration date
09/26/2012
Last updated
09/26/2012
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