Individual provider · Type 1 NPI

Jackelyn R. Farrell, P.A.

Medical Physician Assistant · Takoma Park, MD

NPI number 1366727299 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Fax (301) 891-6346

Mailing address

20010 Century Blvd, Suite 200
Germantown, MD 20874-1115

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110003704 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1366727299

Jackelyn R. Farrell, P.A.'s National Provider Identifier is 1366727299, issued on Oct 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Takoma Park, MD. The record was last updated on Feb 6, 2015.