Jil Medical Clinic LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JIL MEDICAL CLINIC LLC

Practice address

11305 Polaris Dr
Upper Marlboro, MD 20774-3548

Phone

(240) 467-4645

NPI assigned

Oct 28, 2025

Last updated

Oct 28, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Octavie Laura Bih Ambe, FNPNPI 1073211447

Title

Owner

Phone

(240) 467-4645

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Octavie Bih Ambe

  • Family Nurse Practitioner
  • Dunkirk, MD
  • NPI 1073211447
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1437027687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11305 POLARIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743548",
            "telephone_number": "240-467-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIL MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BIH AMBE",
        "authorized_official_first_name": "OCTAVIE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-467-4645",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.