Jacqueline Ebony Ambush
Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care
4367 Hollins Ferry Rd Ste.1c
Baltimore
, Maryland 21227-3400
Jacqueline Ebony Ambush
Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care
4367 Hollins Ferry Rd Ste.1c
Baltimore
, Maryland 21227-3400
(410) 609-6672
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jacqueline Ebony Ambush
- 4367 Hollins Ferry Rd Ste 1c
- Baltimore, MD
- Zip : 21227-3400
- Fax : (410) 609-6672
- Phone : (410) 707-5947
Second Address
- Jacqueline Ebony Ambush
- 4367 Hollins Ferry Rd Ste.1c
- Baltimore, MD
- Zip : 21227-3400
- Phone : (410) 707-5947
Reviews
FAQs
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Where did Jacqueline Ebony Ambush do her residency?
Where did Jacqueline Ebony Ambush do her fellowship?
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What type of doctor is Jacqueline Ebony Ambush
In what state does Jacqueline Ebony Ambush practice in?
Where is Jacqueline Ebony Ambush ’s practice located?
What is Jacqueline Ebony Ambush ’s gender?
Is Jacqueline Ebony Ambush a sole practitioner?
Is Jacqueline Ebony Ambush accepting new patients?
What languages does Jacqueline Ebony Ambush speak?
Does Jacqueline Ebony Ambush accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | R117755 | MD |
| N | 363LP2300X | Nurse Practitioner - Primary Care | R117755 | MD |
National Provider Identifier
| NPI | 1013335546 |
|---|---|
| Provider Name | Jacqueline Ebony Ambush |
| First Address | Baltimore, MD 21227-3400 |
| Second Address | Baltimore, MD 21227-3400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2014 |
| Last Update Date | 01/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R117755 | MARYLAND BOARD OF NURSING (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.