Redd, Jacquelyn Lorraine

Redd, Jacquelyn Lorraine is an individual health care provider with primary practice located at 1396 Piccard Dr Kaiser Permanente Shady Grove Medical Center, Rockville MD 20850-4302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Redd, Jacquelyn Lorraine can be contacted via phone (301) 548-5700.

Contact Information

Primary practice address
1396 Piccard Dr Kaiser Permanente Shady Grove Medical Center Rockville MD 20850-4302
Phone: (301) 548-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101056903 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD20775 District of Columbia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D0039754 Maryland

Profile Details

NPI number 1598826034
LBN Legal business name Redd, Jacquelyn Lorraine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 11th, 2021 - about 4 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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