Individual
JACQUELINE LECLERCQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
238 MERRIMAC CT, PRINCE FREDERICK, MD 20678-6113
(410) 535-0892
(410) 535-5677
Mailing address
238 MERRIMAC COURT, P O BOX 838, PRINCE FREDERICK, MD 20678
(410) 535-0892
(410) 535-5677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R119066
MD
363LF0000X
Family Nurse Practitioner
R1119066
MD
Other
Enumeration date
12/02/2013
Last updated
08/19/2022
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