Jacqueline B Abam
Individual provider Active NPI Case Manager/Care Coordinator · Bowie, MD
NPI 1013602275 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1013602275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4509 Holmehurst Way
Bowie, MD 20720-3455 - Phone
- (202) 375-1609
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4509 Holmehurst Way
Bowie, MD 20720-3455
Mailing address
4509 Holmehurst Way
Bowie, MD 20720-3455
Phone (202) 375-1609
Other providers in Bowie, MD
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- Aas LLC
- Abacare Services LLC
- Justina Ochanya Abah
- Briane Michael Abane
- Corine Nnam Abang
- Victorine Abei Abang
- Abc of Life Health Services Inc
- Kabiru Temitope Abdullahi
All providers in Bowie, MD · Case Manager/Care Coordinator in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.