Individual
MRS. JESSICA MARIE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8118
(240) 956-5166
Mailing address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R189560
MD
163W00000X
Registered Nurse
RN1022412
DC
363LF0000X
Family Nurse Practitioner
Primary
R189560
MD
363LF0000X
Family Nurse Practitioner
RN1022412
DC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN1022412
DC
Other
Enumeration date
06/11/2019
Last updated
06/04/2025
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