Jacqueline Ebony Ambush is a Baltimore, Maryland based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Jacqueline Ebony Ambush is R117755 for Pediatrics in Maryland. Her current practice location is 4367 Hollins Ferry Rd, Ste.1c, Baltimore. Patients can reach her at 410-707-5947. Jacqueline Ebony Ambush is PNP BC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1013335546. Jacqueline Ebony Ambush specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jacqueline Ebony Ambush speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013335546
NPI Enumeration Date:
02 Apr, 2014
NPI Last Update On:
01 Jun, 2015
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Ebony Ambush are as mentioned below.
License Number
Specialization
State
Status
R117755
Pediatrics
Maryland
Primary
R117755
Primary Care
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqueline Ebony Ambush such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
R117755
Other
Maryland
MARYLAND BOARD OF NURSING
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.