Individual provider · Type 1 NPI

Jesse Gabriel Brand

Student in an Organized Health Care Education/Training Program · Rockville, MD

NPI number 1174817498 Active

Practice location

1201 Seven Locks Rd, Suite 101
Rockville, MD 20854-2931

Call (301) 562-7200 Map

Fax (301) 424-1565

Mailing address

8555 16th St, Suite 310
Silver Spring, MD 20910-2816

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Clinical Neuropsychologist 103G00000X05119 (MD)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174817498

Jesse Gabriel Brand's National Provider Identifier is 1174817498, issued on Jun 3, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockville, MD. The record was last updated on Jul 8, 2013.