Pjison Pmhnpbc Llc | |
2617 Smallwood Dr Abingdon MD 21009-1532 | |
(443) 794-5159 | |
Not Available |
Full Name | Pjison Pmhnpbc Llc |
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Speciality | Clinic/Center |
Location | 2617 Smallwood Dr, Abingdon, Maryland |
Authorized Official Name and Position | Paula Joy Ison (OWNER) |
Authorized Official Contact | 4437945159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pjison Pmhnpbc Llc 2617 Smallwood Dr Abingdon MD 21009-1532 Ph: (443) 794-5159 | Pjison Pmhnpbc Llc 2617 Smallwood Dr Abingdon MD 21009-1532 Ph: (443) 794-5159 |
NPI Number | 1699571109 |
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Provider Enumeration Date | 02/24/2025 |
Last Update Date | 02/25/2025 |
Medicare PECOS PAC ID | 2163943358 |
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Medicare Enrollment ID | O20250304002467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699571109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Paula Joy Ison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023713880 PECOS PAC ID: 4981125176 Enrollment ID: I20250304002617 |
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