-- JACQUELINE EBONY AMBUSH -- PNP BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1013335546- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP BC
- Status
- Active
Contact & Location
- Address
- 4367 HOLLINS FERRY RD STE.1C, BALTIMORE, MD, 212273400
- Phone
- (410) 707-5947
Specialties & Taxonomies
Nurse Practitioner, Primary Care
License: MD #R117755
Nurse Practitioner, Pediatrics
Primary License: MD #R117755