Organization
RFOM NURSE PRACTITIONER CLINIC, LLC
Active
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
Update your record
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