Provider Demographics
NPI:1760635411
Name:CURRY, JACKELIN ESTHER (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JACKELIN
Middle Name:ESTHER
Last Name:CURRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15311 GLASTONBURY WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8065
Mailing Address - Country:US
Mailing Address - Phone:410-744-5133
Mailing Address - Fax:410-788-1452
Practice Address - Street 1:16900 SCIENCE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4401
Practice Address - Country:US
Practice Address - Phone:301-464-7008
Practice Address - Fax:301-881-2449
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR142306363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health