Individual provider · Type 1 NPI

Jacqueline Claire Bragunier, PA-C

Medical Physician Assistant · Waldorf, MD

NPI number 1467595348 Active

Practice location

3500 Old Washington Rd, 101
Waldorf, MD 20602

Fax (301) 645-2369

Mailing address

4823 43rd Pl NW
Washington, DC 20016-4501

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0003956 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1467595348

Jacqueline Claire Bragunier, PA-C's National Provider Identifier is 1467595348, issued on Feb 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waldorf, MD. The record was last updated on Jul 22, 2020.