Organization
ANGELICA HEALTH LLC
Active
Organization
ANGELICA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MILLER CRNP (NURSE PRACTITIONER/CO-OWNER)
(443) 986-2896
Entity
Organization
Contact information
Practice address
1328 SUDVALE RD, PIKESVILLE, MD 21208-4113
(410) 497-7382
Mailing address
849 FAIRMOUNT AVE STE 200, # 1067, TOWSON, MD 21286-2693
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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