Individual provider · Type 1 NPI

Leslie June McJilton, PA-C

Medical Physician Assistant · Nottingham, MD

NPI number 1104150838 Active

Practice location

Medstar Urgent Care Clinic, 8605 Ridgelys Choice Dr Suite 100
Nottingham, MD 21236-2953

Mailing address

8605 Ridgelys Choice Dr Ste 100
Baltimore, MD 21236-2953

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0006324 (MD)
Surgical Physician Assistant 363AS0400XC0006324 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1104150838

Leslie June McJilton, PA-C's National Provider Identifier is 1104150838, issued on Sep 29, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nottingham, MD. The record was last updated on Aug 14, 2024.