| Jaime Durant, CRNP | |
| 
					9800 Falls Rd, Suite 3, Potomac, MD 20854-3999  | |
| (301) 765-9255 | |
| Not Available | 
| Full Name | Jaime Durant | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 9800 Falls Rd, Potomac, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154690766 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R149803 (Maryland) | Primary | 
| Entity Name | Wellness Source Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780031724 PECOS PAC ID: 2668751454 Enrollment ID: O20161118000825  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jaime Durant, CRNP 2607 Lauretta Ave, Baltimore, MD 21223-1026 Ph: (443) 462-1342  | Jaime Durant, CRNP 9800 Falls Rd, Suite 3, Potomac, MD 20854-3999 Ph: (301) 765-9255  | 
Kelly Feaster, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10220 River Rd, Potomac, MD 20854 Phone: 240-499-8854  | |
Mrs. Kala Shahi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9800 Falls Rd, Ste 3, Potomac, MD 20854 Phone: 301-765-9255 Fax: 301-299-3838  | |
Kelly Ann Kleifges, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854 Phone: 301-588-7888 Fax: 301-588-3419  | |
Francisca Obi Bisong,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13 Potomac Manors Ct, Potomac, MD 20854 Phone: 401-256-8830  | |
Mrs. Sandra Lorena Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7955 Tuckerman Ln, Potomac, MD 20854 Phone: 301-299-3717 Fax: 301-299-7761  | |
Adele Leonie Tzeuton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2438 Henslowe Dr, Potomac, MD 20854 Phone: 240-476-8529  |