Individual provider · Type 1 NPI
Jacqueline Sergon
Adult Health Nurse Practitioner · Rockville, MD
NPI number
1053073254
Active
Practice location
4629 Glasgow Dr
Rockville, MD 20853-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN1038653 (DC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1053073254
Jacqueline Sergon's National Provider Identifier is 1053073254, issued on Oct 6, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockville, MD. The record was last updated on Oct 6, 2021.