JACQUELINE DAWN WISEMAN

TAKOMA PARK, MD
NPI1457494767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  098816)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
-- JACQUELINE DAWN WISEMAN CRNP
7600 CARROLL AVE
TAKOMA PARK, MD 20912-6367
Phone number: 301-891-7600
Mailing Address
-- JACQUELINE DAWN WISEMAN CRNP
10508 EASTWIND WAY
COLUMBIA, MD 21044-5604
Phone number: 410-964-3235