Individual
JESSICA KWEBETCHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6535 N CHARLES ST STE 500, TOWSON, MD 21204-5832
(410) 825-5454
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 471-5783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R193212
MD
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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