Wiseman, Jacqueline Dawn
Wiseman, Jacqueline Dawn 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 / Family, which is considered as her primary health care specialty. Wiseman, Jacqueline Dawn can be contacted via phone (301) 891-7600.Contact Information
Primary practice address
7600 Carroll Ave
Takoma Park MD 20912-6367
Phone: (301) 891-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 098816 | Maryland |
Profile Details
| NPI number | 1457494767 |
|---|---|
| LBN Legal business name | Wiseman, Jacqueline Dawn |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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