Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | R200109 | MD |
Y | 363LG0600X | Nurse Practitioner - Gerontology | R200109 | MD |
NPI | 1003277245 |
---|---|
Provider Name | Jessica Abrams |
First Address | North Potomac, MD 20878-2300 |
Second Address | North Potomac, MD 20878-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2016 |
Last Update Date | 01/07/2021 |