Jacqueline Ebony Ambush, PNP BC

NPI #1013335546 in Baltimore, Maryland

Provider Information

NPI Number
1013335546
Entity Type
Individual
Name
Jacqueline Ebony Ambush, PNP BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
PNP BC
Enumeration Date
Apr 2, 2014
Last Updated
Jun 1, 2015

Practice Location

Address
4367 HOLLINS FERRY RD
Address 2
STE.1C
ZIP Code
21227-3400
Phone
(410) 707-5947

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics
Nurse Practitioner - Primary CarePrimary Care

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