Farrell, Jackelyn R

Farrell, Jackelyn R is an individual health care provider with primary practice located at 7600 Carroll Ave , Takoma Park MD 20912-6367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Farrell, Jackelyn R can be contacted via phone (301) 891-5070.

Contact Information

Primary practice address
7600 Carroll Ave Takoma Park MD 20912-6367
Fax: (301) 891-6346
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003704 Virginia

Profile Details

NPI number 1366727299
LBN Legal business name Farrell, Jackelyn R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Feb 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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