Individual
ELIN JACQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
CRNP
Contact information
Practice address
4610 EXMOORE CT, UPPER MARLBORO, MD 20772-8072
(404) 421-2555
Mailing address
4610 EXMOORE CT, UPPER MARLBORO, MD 20772-8072
(404) 421-2555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R207774
MD
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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