Individual provider · Type 1 NPI

Jacquetta George, CRNP

Family Nurse Practitioner · White Plains, MD

NPI number 1487022679 Active

Practice location

4200 Altamont Pl
White Plains, MD 20695-3052

Call (866) 389-2727 Map

Mailing address

14695 Gallant Ln
Waldorf, MD 20601-4440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR128536 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1487022679

Jacquetta George, CRNP's National Provider Identifier is 1487022679, issued on Sep 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in White Plains, MD. The record was last updated on Sep 16, 2015.