Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD31460 | DC |
N | 2084N0400X | Neurologist | MD31460 | DC |
NPI | 1194751149 |
---|---|
Provider Name | Dr. Jennifer Jurgens |
First Address | Bethesda, MD 20814-4524 |
Second Address | Bethesda, MD 20889-0003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 24/08/2017 |