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Jacqueline Ebony Ambush, PNPBC
Primary Care Nurse Practitioner in Baltimore, Maryland
NPI 1013335546

Jacqueline Ebony Ambush is a Primary Care Nurse Practitioner based in Baltimore, MD and is specialized in Primary Care. Jacqueline Ebony Ambush practices in Baltimore, MD and has the professional credentials of PNPBC. The NPI Number for Jacqueline Ebony Ambush is 1013335546 and holds a License No. R117755 (Maryland).

The current practice location address for Jacqueline Ebony Ambush is 4367 Hollins Ferry Rd, Baltimore, MD and can be reached out via phone at 410-707-5947.

Location: 4367 Hollins Ferry Rd, Baltimore, MD, 21227-3400
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Provider Profile Details
NPI Number
1013335546
Provider Name
Jacqueline Ebony Ambush
Credential
PNPBC
Provider Entity Type
Individual
Gender
Female
Address
4367 Hollins Ferry Rd, Baltimore, MD, 21227-3400
Phone Number
410-707-5947
Fax Number
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R117755 01 MD MARYLAND BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
4367 Hollins Ferry Rd
City
State
Zip
21227-3400
Phone Number
410-707-5947
Fax Number
person
Provider Business Mailing Address Details
Address
4367 Hollins Ferry Rd
City
State
Zip
21227-3400
Phone Number
410-707-5947
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R117755 (Maryland)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
R117755 (Maryland)
Definition
Definition to come...
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