JACQUELINE EBONY AMBUSH

BALTIMORE, MD
NPI1013335546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD  R117755)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: MD  R117755)
Enumeration Date2014-04-02
Last Update Date2015-06-01
Business Address
-- JACQUELINE EBONY AMBUSH PNP BC
4367 HOLLINS FERRY RD STE.1C
BALTIMORE, MD 21227-3400
Phone number: 410-707-5947
Mailing Address
-- JACQUELINE EBONY AMBUSH PNP BC
4367 HOLLINS FERRY RD STE 1C
BALTIMORE, MD 21227-3400
Phone number: 410-707-5947