Individual provider · Type 1 NPI

Jacqueline Ebony Ambush, PNP BC

Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1013335546 Active

Practice location

4367 Hollins Ferry Rd, STE.1C
Baltimore, MD 21227-3400

Call (410) 707-5947 Map

Mailing address

4367 Hollins Ferry Rd Ste 1C
Baltimore, MD 21227-3400

Other practice locations

  • 5252 Hollister St Ste 203C, Houston, TX 77040-6214 · (346) 678-4442

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XR117755 (MD)
Pediatric Nurse Practitioner Primary 363LP0200XR117755 (MD)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1013335546

Jacqueline Ebony Ambush, PNP BC's National Provider Identifier is 1013335546, issued on Apr 2, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Apr 29, 2026.