person
Miss Jennifer Lacey Pantoja, NP
Family Nurse Practitioner in Frederick, Maryland
NPI 1285093047

Jennifer Lacey Pantoja is a Family Nurse Practitioner based in Gaithersburg, MD and is specialized in Family. Jennifer Lacey Pantoja practices in Frederick, MD and has the professional credentials of NP. The NPI Number for Jennifer Lacey Pantoja is 1285093047 and holds a License No. R218266 (Maryland).

The current practice location address for Jennifer Lacey Pantoja is 61 Thomas Johnson Dr Ste B, Frederick, MD and can be reached out via phone at 240-215-0454.

Location: 61 Thomas Johnson Dr Ste B, Frederick, MD, 20882-1841
person
Provider Profile Details
NPI Number
1285093047
Provider Name
Jennifer Lacey Pantoja
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
61 Thomas Johnson Dr Ste B, Frederick, MD, 20882-1841
Phone Number
240-215-0454
Fax Number
Provider Enumeration Date
02/22/2016
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
61 Thomas Johnson Dr Ste B
City
State
Zip
21702-4301
Phone Number
240-215-0454
Fax Number
person
Provider Business Mailing Address Details
Address
61 Thomas Johnson Dr Ste B
City
State
Zip
21702-4301
Phone Number
240-215-0454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R218266 (Maryland)
Definition
Definition to come...
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