| Ms Jacqueline Jones Bradley, CNP | |
|
2101 E Jefferson St, Rockville, MD 20852-4908 | |
| (301) 816-2424 | |
| (301) 388-1740 |
| Full Name | Ms Jacqueline Jones Bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 2101 E Jefferson St, Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740346998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | R089410 (Maryland) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN51705 (District Of Columbia) | Primary |
| Entity Name | Med-ped Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336296730 PECOS PAC ID: 0941108237 Enrollment ID: O20031223000604 |
| Entity Name | Express Healthcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598994733 PECOS PAC ID: 2860660743 Enrollment ID: O20110720000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline Jones Bradley, CNP 4900 Massachusetts Ave Nw, Ste 250, Washington, DC 20016-4316 Ph: (202) 629-3536 | Ms Jacqueline Jones Bradley, CNP 2101 E Jefferson St, Rockville, MD 20852-4908 Ph: (301) 816-2424 |
Janice Elaine Hodge, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15825 Shady Grove Rd, Ste 140, Rockville, MD 20850 Phone: 301-869-9776 Fax: 301-216-2592 | |
Lisa Kuester, RN CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Medical Center Dr, Rockville, MD 20850 Phone: 301-330-2921 | |
Heather Kae Case, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10110 Molecular Dr Ste 114, Rockville, MD 20850 Phone: 301-780-4745 Fax: 301-605-7550 | |
Mrs. Jane L Ovedovitz, R.N.,F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7955 Tuckerman Lane, Rockville, MD 20854 Phone: 646-242-7404 | |
Dr. Yong Nam Jeon, DNP, CRNP, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 W Edmonston Dr Ste 202, Rockville, MD 20852 Phone: 301-762-0788 | |
Christina Kowl, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Azalea Dr, Rockville, MD 20850 Phone: 301-910-9171 | |
Morgan Gale, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11119 Rockville Pike Ste 204, Rockville, MD 20852 Phone: 301-875-2729 |