Grassroots Healing
NPI #1902587124 in College Park, Maryland
Provider Information
- NPI Number
- 1902587124
- Entity Type
- Organization
- Organization Name
- Grassroots Healing
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 31, 2023
- Last Updated
- Jul 31, 2023
Practice Location
- Address
- 10105 BALTIMORE AVE APT 3401
- City
- College Park
- State
- Maryland
- ZIP Code
- 20740-4231
- Phone
- (410) 937-1766
Authorized Official
- Name
- MELISSA JACKSON
- Title
- OWNER
- Phone
- (301) 276-4334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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