Jacqueline Ebony Ambush
PNP BC | Nurse Practitioner - Pediatrics
4367 Hollins Ferry Rd, Ste.1c, Baltimore
Maryland, 21227-3400
410-707-5947
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.
| Name: | Jacqueline Ebony Ambush |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP BC |
| Practice Address: | 4367 Hollins Ferry Rd, Ste.1c, Baltimore,
Maryland, 21227-3400 |
| Phone: | 410-707-5947 |
Professional Identification Codes:
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.
| Address: | Jacqueline Ebony Ambush
4367 Hollins Ferry Rd Ste 1c,
Baltimore, Maryland |
| Zip: | 21227-3400 |
| Phone Number: | 410-707-5947 |
| Fax Number: | 410-609-6672 |
Patients can reach Jacqueline Ebony Ambush at
4367 Hollins Ferry Rd, Ste.1c, Baltimore, Maryland or can
call to book an appointment on 410-707-5947.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.