Provider Demographics
NPI:1417395740
Name:J&D NURSING MANAGEMENT
Entity Type:Organization
Organization Name:J&D NURSING MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-593-1179
Mailing Address - Street 1:4951 COLUMBIA RD APT I
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1666
Mailing Address - Country:US
Mailing Address - Phone:240-593-1179
Mailing Address - Fax:
Practice Address - Street 1:4951 COLUMBIA RD
Practice Address - Street 2:APT T1
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1562
Practice Address - Country:US
Practice Address - Phone:240-593-1179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-09
Last Update Date:2013-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1030226251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care